P. O. Box 2400    Los Lunas, New Mexico.   87031
Telephone: (505) 565-4470         Fax: (505) 866-9527

E-mail:


 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

PLEASE FILL THE FROM BELOW TO MAKE A DONATION TO EL RANCHITO de los NIÑOS


   Yes, I want to help El Ranchito de los Niños

CREDIT CARD TYPE:
                    
AMOUNT OF DONATION:
NAME ON CARD
:
CARD NUMBER:
EXPIRATION DATE:

            CARDHOLDER BILLING INFORMATION
NAME:

COMPANY/ORGANIZATION:

MAILING ADDRESS :

PHYSICAL ADDRESS :

TELEPHONE (Daytime):
(Evening):
FAX:  E-MAIL:

         
       
       METHODS OF PAYMENT:

  1. Print this form out and mail it with your check payable to El Ranchito de los Niños to P.O. Box 2400, Los Lunas New Mexico 87031.
  2. Print this form out and fax it with your credit card information to (505) 866-9527.
  3. Contact Judy Lucero, Development Director at (505) 345-2694 or .
  4. Use our SECURE ONLINE DONATION FORM.
                                                                                            
Copyright © 2003 El Ranchito de los Niños, Inc. All Rights Reserved.