Join the Sponsors Circle

To join the Project Nicaragua Sponsors Circle,

print, complete, and return this form to:

Project Nicaragua
914 Westwood Blvd #337
Los Angeles, CA 90024

Make checks payable to: Project Nicaragua

Your Sponsors Circle donation is tax deductible and will be acknowledged online on our website.

 

Organization:

Name:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

E-mail:

 

Enter donation amount and check one from the list below:

$                    

 

[ ] Platinum Circle - > $1000

 
[ ] Gold Circle - $501 to $1000
[ ] Silver Circle - $251 to $500
[ ] Bronze Circle - $101 to $250
[ ] Supporter - $1 to $100

We sincerely thank you for your support!