Your Pal Steve

Donation Form

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Your Pal, Steve smX www.yourpal-steve.org
Solution Beacon Foundation


Date:

Total Contribution Enclosed:
$
Designations:  
Please specify the designated program(s) and amounts you are contributing to each:
The Lunch Program-Don't Make Peace with the Fact There are Hungry Children
$

The Computer Center Program-A Way Out $
Your Pal Steve General Fund $
   

All of the programs supporting Steve Peifer's efforts are administered by Africa Inland Mission. 100% of the contributions received by the Solution Beacon Foundation in support of
Steve's programs are provided to AIM and designated for the specific programs established by Steve.


Dedications:

Please specify if any or all of the contribution is on behalf of, or in memory of another:

If an acknowledgement of the dedication is desired, please provide the necessary instructions for sending to the appropriate party:

Donation Preferences:

Provide my name and contact information to the Solution Beacon Foundation or designated programs.
Add my email address to the Solution Beacon Foundation's newsletter distribution.

Provide my name, but no contact information to the Solution Beacon Foundation or designated programs.
I prefer to make this contribution anonymously.

(Contact information is required for a receipt for your tax-deductible contribution, but will not be disclosed if either of these options are checked.)

Contributor Name(s):
Address1:
Address2:
City:
State:
Zip:
Country:
Telephone:
Fax:
Email Address:
   

To save postage costs, receipts for your tax-deductible contributions are sent via email unless otherwise requested.

Complete this form, print it, and mail it with your check or money order to:

Solution Beacon Foundation
c/o Kennedy and Coe, LLC
PO Box 187
Goodland , KS 67735

Thank You!
REV 200801
The Solution Beacon Foundation is a 501(c)(3) nonprofit organization. FIN 20-0289889