YES! I WANT TO HELP! 
By filling out the following form, I understand that I am under no obligation. I am interested in supporting a child with HIV/AIDS through the God's Gift Program

I prefer a _____ Boy   _____ Girl    _____ Either

_____ I am ready to help now. Enclosed is my first sponsorship check or credit card information.

_____ $30.00 One Month
(Please bill my credit card monthly _____ initial here)
                          

_____ $90.00 Three Months
(Please bill my credit card quarterly _____ initial here)

_____ $360.00 One Year
(Please bill my credit card yearly _____ initial here)
                              
Name ____________________________________________

Address __________________________________________

City/State/Zip ______________________ / _____ / _________

Phone (_______) __________ ____________

MasterCard      Visa      Discover      (Please circle one)

___ ___ ___ ___    ___ ___ ___ ___   ___ ___ ___ ___   ___ ___ ___ ___
 

Expiration date _____ / _____ / _____

Send to:
Montana de Luz
P.O. Box 1805
Columbus, OH 43216

Questions? Call (614 ) 298-8077
or email us at sponsor@montanadeluz.org