TIBET FUND ~ PENDANT ORDER FORM
 Enclosed is payment for the Tibet Fund Pendant as follows:
Number of Pendants
@ $75 Each Pendant  $ ______________
Shipping +$5.00
Total Due  $ ______________
 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 $_________for a period of: ________ months beginning ________as follows:
Annually Semi-annually Quarterly Monthly One-time donation only
Visa MasterCard American Express

Credit Card Number:_______________________________________________ Expiration Date: ______________

Card Holder's Signature:__________________________________________
 Donor Information:


Name:  ________________________________________________________________

Address:  ______________________________________________________________

City: _______________________________ State:  _______ Zip: __________________

 Email: _____ _____________________   Phone :  _____________________________
 My Name & Address (if different from shipping address above):

Name:  _____________________________________________________________

Address:  ____________________________________________________________

City:  ________________________________State: ___________ Zip: __________

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: tibetfund@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 ~
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