Thank you for your support last year!
Because of your generous giving millions of lives have been transformed around the world. Please complete this form to request your year-end contribution statement. We can only mail statements to the U.S. address listed in our system. 

If you need to change your address please visit our finance dept. during office hours.
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What type of Year-end contribution statement are you requesting today? *


 
What's your company name? *

 
What's your first name? *

 
Hi {{answer_40050647}}, nice to meet you.
What's your last name? *

 
What's your spouse's first name? *

 
If different, what's your spouse's last name?

 
In case we need to contact you by phone, what phone number can we best reach you? *

 
{{answer_40050647}}, now we need your mailing address.

Remember we can only send contribution statements by mail so make sure that the address we have on file matches the address you submit. If you need to change the address visit our finance dept. during office hours or call (305) 398-7999
 
Street Address *

 
City *

 
State *

 
Zipcode *

 
Have you had a change of address in the last 2 years? *

     
 
Previous Street Address *

 
City *

 
Zipcode *

 
We're almost finished {{answer_40050647}}. How would you like to receive your year-end contribution statement? *


Thank you, {{answer_40050647}}!
We have received your information and will contact you by email at {{answer_40050649}} if we have any further questions.
Request another!