Tripura_Donation_Form

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					The Tripura Foundation
Attention: Donation Administrator
333 Pennsylvania Ave.
Oakmont, PA 15139
                                             Committed to Ending Extreme Poverty
                                     Your simple act of compassion could be somebody’s miracle.


Yes! I want to help Tripura Foundation improve the lives of those in need.

Please make contributions payable to Tripura Foundation and return this form by fax or mail to:

Tripura Foundation
Attention: Donation Administrator
333 Pennsylvania Avenue
Oakmont, PA 15139
Fax: 412-828-0911

 Name:
 Address:
 City:
 State:
 Postal code:
 Country:
 Phone:
 Email:

 Check or Money Order enclosed (payable to Tripura Foundation)

 Wire Transfer (Please indicate amount $                                , date of transfer                          )

Please charge my:  VISA  MasterCard  American Express

                                                                                                  $
Account Number                          (*Most credit cards have 16 digits. AmEx has 15.)              Amount


                                                                                   /        (month/year)
Signature                                                              Exp. Date

 I would like to make a monthly donation of $                               charged to my credit card on the
     th
  15 of every month.

 I would like to receive periodic e-mail updates on the Tripura Foundation’s programs and
  progress.

Please designate my gift to the following program:
                                                                       Funds will go to General Fund if left blank



Thank you for making the decision to help someone less fortunate than yourself!

                     Tripura Foundation is a nonprofit 501(c)3 charitable organization.
                  All contributions are tax deductible to the fullest extent allowed by law.




         Tripura Foundation  333 Pennsylvania Ave.  Oakmont, PA 15139  888-241-7337  www.tripurafoundation.org

				
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posted:5/9/2013
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