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Sponsor a Child - Printable Form

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Sponsorship Preference Form

 

Sponsor's Name:_________________________________________________________

Sponsor's Email Address:__________________________________________________

Street Address 1:________________________________________________________

Street Address 2:________________________________________________________

City:___________________________________________________________________

State:__________________________________________________________________

Country:________________________________________________________________

U.S. Zip or Country Code:__________________________________________________

Phone Number:__________________________________________________________

I prefer to sponsor a "" male     "" female   "" no preference

I prefer to sponsor an  "" infant or toddler    "" child    "" younger teen     "" older teen    "" no preference

I prefer to sponsor a   "" child with HIV/AIDS   "" teen with HIV/AIDS   "" child with a learning disability

"" teen with a learning disability   "" "emotionally abandoned" child   "" "emotionally abandoned" teen

"" no preference

 

I am sending a check for $____________(made payable to "Assisting Children in Need")  to Assisting Children in Need, 600 Cameron Street, Alexandria, VA 22314, USA.                                                                                     

*Please print and mail this form to the address listed.

CLICK TO PRINT THIS PAGE

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Assisting Children in Need (ACN)
600 Cameron Street
Alexandria, VA 22314, USA
Tel: +1 703 340 1677
Send us an email

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