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First Name*

Last Name*

Address*

Phone Number*

Email Address*

Please choose one of the options to Sponsor a Child? Option 1 for girl, Option 2 for boy*

If you know the child's name that you support, please type it in the box.

The monthly support for a child is: $25 to $35 US dollars. Please type the amount you feel comfortable with.*

Do you want to receive pictures or more details about the child you are about to support? Type Yes or No*

When can you start supporting the child?*

Message*

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