You are on page 1of 1

Donation and Event Form:

Print the form and send into the address below:


Yes, I would love to support Nepal SEEDS by making a tax deductible contribution in the
amount of:
$25.00________ $50.00________ $100.00________ $500.00_______Other_________
Name: _________________________________________________________
Address:________________________________________________________
City, State, Zip:__________________________________________________
e-mail:________________________________________________________
I would like to make a gift contribution in the name of:
Name: _________________________________________________________
Address:________________________________________________________
City, State, Zip:__________________________________________________
From:__________________________________________________________
Address:________________________________________________________
(List additional gift recipients names and addresses on the back)
A certificate, enclosed in a handmade paper card from Nepal, will be sent to each gift
contribution recipient.
Check enclosed in the amount of $________
Please make check payable to Nepal SEEDS, 800 Kansas Street, San Francisco, CA. 94107
Or Contact us directly.

You might also like