Yes! I will sponsor a SHAMA WELL micro-loan project!
_____ Woman's code number. Please include all the digits of the code number, even if it begins with a zero. (If you have no preference of which woman to sponsor, leave this blank.)
Please check the amount you can pay
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I will pay $180 for an entire year now ($185.40 if by credit card) |
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I will make two payments of $90, one in October and one in April ($92.70 if by credit card.) |
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I will make three payments of $60, one in October, one in April, and one in August ($61.80 if by credit card.) |
Please check your preferred payment option below:
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I will pay by check (Make checks payable to "SHAMA WELL") |
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I will pay by cash |
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I will pay by credit card. (For information about how to do this, go to our web page at http://www.uwsp.edu/multicultural/shama/CreditCard.htm.) |
Contact Information:
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Name |
________________________________________________________________ |
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Address
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________________________________________________________________ ________________________________________________________________ ________________________________________________________________ |
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Phone number w/ area code |
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Mail this form, with payment (or upon PayPal payment) to:
Note: Sponsorship cannot begin until SHAMA WELL receives the first payment.