Cheque Donation Pledge Form

  1. Fill out the following form.
  2. Enter the code and click the 'Send to Child Haven' button
  3. Mail your cheque to
     
          CHILD HAVEN
          19014 Concession 7
          Maxville, ON
          K0C 1T0
          Canada    		    OR     CHILD HAVEN
    Box 5099
    Massena, NY
    13662-5099
    USA

Donations of $20.00 or more are tax receiptable in Canada, United States, India and Nepal. Post-dated cheques are accepted.

Please do not send cash in the mail

Help
Pledge: $
  Title First Last
Name:
Address:
City:
Prov./State:
Postal or
ZipCode:
Country:
Phone:
Email:

I would like my contribution to be used:
Wherever it is needed most
  24-hour care of destitute children in Child Haven homes
  Projects for women (literacy& sewing)
  Medical Care
  Refugees (abroad or in Canada)
  Capital Costs
  Sponsoring a post secondary student ($500 to $2000 per year)
  Home in Gandhinagar
  Home in Delhi
  Home in Savarsai
  Home in Hydrabad
  Home in Kaliyampoondi
  Home in Chittagong
  Home in Kathmandu
  Home outside Lhasa


Memo:



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