Extend Your Heart                                                                                              
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                                                                                      Donation Form                                                                           

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Contact Information
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EXTEND YOUR HEART PROGRAMS DONATION AMOUNTS                    
Education Sponsorship
- $100 can help a student (1st-12th grader) to go to school for a year.
$ for student(s)
1. 2.
3. 4.
Preschools of Love at Dong Nai, Hue, Nghe An and Vinh Long
- 50 cents can provide a child a meal/day
- $50 supports one month salary of a teacher
$
Bicycles
- $65 can buy a bike for a student to go to school
$
Build-A-House Program: any amount is helpful.
- $1500 for a small 4 m x 6 m house
$
Administrative Fund: any amount is helpful.
- 1% - 3% Wiring fee for sending money to Viet Nam
$
Total Donation
$

My gift is In Honor or In Loving Memory of someone
Please check the appropriate box below and enter additional information on the comment box.
My donation is In Honor of someone.
My donation is In Loving Memory of someone.

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