Neighorhood Care International Association

PLEDGE
Yes! I want to help Rwanda Hope 's campaign

*Last Name
*First Name
*E-mail
*Address:
*City:
*State/Province:
Zip/Postal Code:
*Country:
*Phone
Date of Birth
$	Trust Fund
$	Monthly pledge
$	Campaign contribution
*Membership	Associate Membership $25 Life Membership $1,000 Annual Membership $25
Please provide additional information

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