I want to support Mano con Mano Health Reach
with a tax deductable donation of:_______________

 
Method of Payment
My check or money order payable to Mano con Mano Health Reach is enclosed.


Name and Address

Name:_______________________________

Address:_____________________________

                 ____________________________

                 ____________________________

Email:_______________________________

Telephone:___________________________(optional)




Please Mail To:

Mano con Mano Health Reach
PO Box 1369
Freeland, WA 98249



 
A receipt for tax purposes will be sent to you.