Mail in Donation Form

CHILDHOOD MISSION OF UGANDA Our Mission:

Stronger Children | Stronger Communities To transform the lives of impoverished children by
implementing innovative early childhood care, development
and education programs in the rural villages of Uganda

M AIL-IN DONATION FORM

Select one: In honor of.................…………..… In memory of…………….……………… I wish to remain
anonymous

Please make checks payable to: Childhood Mission of Uganda

Donation given by:
Name: ____________________________________________________________________________________

Address: __________________________________________________________________________________

Phone: __________________________________ Email: ______________________________________

Attached is check number: __________________ Date: _______________

Amount of Donation $______________________

Signature: _________________________________________________________________________________

Please accept my financial contribution to the following (select one):

Children Annual Sponsorship includes services and resources:
______Child Hunger Relief (Children’s Nutrition Program - $20 Feeds 1 Child for 1 Month)
______Early Childhood Care, Development and Education (Annual Program - $140)
______Backpack filled with annual school supplies ($30)

Children’s One-time Life-Changing Gift:
______Kid’s Bicycles ($70)
______Kid’s Reading Solar Light ($25)

I want to give where it’s most needed:
_______Administration Support (Houston)
_______Administrative Support (Uganda)
_______Teacher’s and Care Staff Salaries (Uganda)
_______Teacher’s and Parents/Guardians Workshops (Uganda)

A receipt will be sent to you at the address you provided above. No goods or services were provided to the donor in

exchange to these contributions. – Donations are tax-deductible. Tax ID EIN# is: 45-2296746

U.S.A: +1(832) 378.6068 P.O. BOX 631305 EMAIL: [email protected]
UGANDA: +(256) 701.403.034 HOUSTON, TX 77263 WEB: WWW.CMOUG.ORG