TIBET FUND ~ TO SUPPORT TIBETAN DELEK HOSPITAL

One hundred percent of your donation goes to Tibetan Delek Hospital. The Fundraising costs for Delek Hospital campaign are being donated. All Donation in excess of each itemized goal will be applied to Delek Hospital's other capital needs, unless otherwise directed by you. Thank you!

 Please allocate my donation as indicated below:
To Support::
$_______
Back-Up Generator
$_______ Lab Processor
$_______ X-Ray Developer
$_______ Cardiac and Pulmonary Equipment
$_______ Laptop Computers and Digital Cameras
$_______ Medical Reference Texts
$_______
General Donation
 Method of Payment:
Check or Money Order Enclosed (please make payable to The Tibet Fund)
Credit Card (your signature below authorizes The Tibet Fund to charge your credit card as indicated):
Amount of $_______________
_____Visa _____ Amex ______ MasterCard ______Discover

Credit Card Number:_____________________________

Expiration Date:________________________________

Card Holder's Signature:_____________________________


For DONATION OF STOCKS or OTHER SECURITIES  Please call 212-213-5011 for further detail.

 Donor Information:


Name:  _______________________________________

Address:  _____________________________________

City:  _______________________________________

State:   _____________  Phone:  __________________________

Zip: ________________Email: ______________________________

______ Please include me on the Mailing List for the Friends of Delek Newsletter


Please mail this form and your payment to:

The Tibet Fund
241 East 32nd Street ~ New York, NY 10016
phone: (212) 213-5011 ~ fax: (212) 213-1219
email: info@tibetfund.org ~ web
: www.tibetfund.org

The Tibet Fund, founded in 1981, is the principal fund-raising organization for the Tibetan people, established to help preserve and promote their unique cultural heritage. The Tibet Fund assists the educational, social, and economical advancement of Tibetans, both in and outside of Tibet. The Tibet Fund is a non-profit 501(c)(3) charitable organization; accordingly, contributions are tax-deductible to the extent allowed by law.

~ THANK YOU FOR YOUR SUPPORT~ ~ Go Back | Return Back Home