Please complete the following and mail it to us with your donation. If you require additional information or a meeting with our President/CEO, please email us: acholonu@bellsouth.net

Name _____________________________________________________

Address ___________________________________________________

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Phone_____________________________________________________

Email______________________________________________________

Contribution Amount $ _____________________________________

Please describe other ways you could help____________________

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**Because of our 501(c) (3) status, your contributions are tax-deductible. Not only will your financial and in-kind contributions help us to make life better for so many people, you also get the benefit of a tax incentive.