Sponser A Child At Mt. Hope
Please fill this form out to support the children and village of Mount Hope Orphanage in Gressier, Haiti.
Name
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Email
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This address will receive a confirmation email
Phone
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Address
*
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If you are signing up to sponsor a child, please select from the list - or to make a one time gift to Mount Hope Orphanage, select “One time Gift”.
*
Please select all that apply.
Farleine
Naika
Carla
Suzie
Alex
Schinaider
Gabrielle
Jean Yves
Micka
Nerlande
Wood Jino
Billy
Guerby
Dinia
Clauder
Abigaelle
Esther
Compere
Woodson
*One Time Gift
Payment: $30 per month is a child sponsorship and $320 per year is an annual sponsorship. You may also give a one time amount of your choosing for general support.
If you are doing the sponsorship option please select
*
Please select one option.
Yes
No (doing a one time gift)
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
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Description
Please fill this form out to support the children and village of Mount Hope Orphanage in Gressier, Haiti.
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