I want to help children and families in Juarez
City: ________________________ State:_____________ Zip: _________________
Home phone: ___________________________Alt. Phone: ______________________
Email: __________________________________ Church: ______________________
I can help in the following way(s):
$1000 per year for next 3 years
Break the poverty cycle with education for the children in Juarez
$500 per year for next 3 years
Help families have access to basic medical care
$250 per year for next 3 years
Provide adult education program
Contribute $ __________ per year for next _______ years.
Please contact me. I have ideas to share. Please e-mail me the newsletter
I would like to make my gift via:
Check (payable to Arrow Outreach)
My company will match my gift.
My preferred payment plan is: Monthly Quarterly Annually
Please send my receipts by e-mail. Send only an annual receipt.
Arrow Outreach is a nonprofit 501(c) 3 charitable organization. All gifts are tax deductable as allowed by
law. By signing this form, I am making a commitment to Arrow Outreach for the set amount indicated
above. I understand that I may cancel this commitment or adjust the amount at any time by contacting
Arrow at: 903-963-7672.
Signature:________________________________ Date: ____________
Please mail completed form to: Arrow Outreach
Van, TX 75790-2630