DONATION FORM

By making a donation today, you can become an active part of the Village! Your support will go directly to the needs of an orphan. You can view some of the current needs of the Mercy Children's Centre by visiting the wish list.

For your convenience, you can fill out this form online. Once completed, print the form and mail it with your gift of a cheque or money order to:

One Child's Village
Suite 3382, 11215 Jasper Avenue
Edmonton, Alberta
Canada  T5K 0L5

Please choose from the following options:

I wish to donate:

$25

 $500
  $50 $1000
  $100 Other:
 
...toward where it is most needed.
...toward school construction in Bumala.

OR

I wish to make a donation toward the following item(s):

Educational
Cost per item (CAD funds)
 
Quantity
Cost
Shoes $5/pair
x
=
$
School uniforms $30
x
=
$
Notebooks $2/6-pack
x
=
$
Textbooks $12.50
x
=
$
Desks $30
x
=
$
Classroom rent $20/month
x
=
$
Teachers' salaries $200/teacher/year
x
=
$
       
 
I want my donation to go towards other educational items such as pens, pencils, crayons, erasers, paint, paper, rulers, protractors, math sets, and teaching aids such as kits and educational games.
   
$
   
 
Comfort/Safety/Survival  
 
Blankets $12.50
x
=
$
Mosquito nets $5
x
=
$
Bed mattresses $20
x
=
$
         
      Total  
$

 

 

 

 

 

 

 

 

 

 

 

 




My contact information:

Name:

Address:   (Street)
  (City/Province or State)
(Country)
(Postal or ZIP code)

Home: ( )

Email:

* Your contact information is solely for the internal use of One Child's Village. We do not share donors' contact information with other organizations.
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