We cannot begin your sponsorship until we receive your first gift, so . . .

Sponsorship Sign-up Form -- print and mail with your payment - or - phone - or - >>enter credit card>>

______ Give a Child a Home , which provides a home, food, clothing, heath care, and
tuition for an interno (foster care child.) The commitment is $25/month ($300/year).

_______ Give a Child a Chance , which provides tuition to an interno or becado
(an impoverished student who returns home each evening.)
The commitment is $15/month ($180/year).

•  I would like to receive a yearly reminder during the month of _____________________.

•  Enclosed is my check to “COAR” : ___ $15 ____$25 ___ $180 ___ $300 ___ Other

•  Charge my credit card: ___ $15 ___ $25 ___ Every month? ___ $180 ___ $300 ___ Other

Name on card: _____________________________________ Exp. Date (mmyy): ________

Address
(street, city, zip): ___________________________________________________________

Card number
(Visa, Master Card, Discover): _____________________________________________________

Mail, phone, or e-mail:

COAR Peace Mission 28700 Euclid Ave Wickliffe, Ohio 44092-2585

Voice: +1-440-943-7615 Fax: +1-440-943-7618 e-mail: coarsponsors@gmail.com