Donation Form

 


 


Donation

 

Please fill in or attach address label for the following for recognition purposes.

 

Name: _______________________________________________________________________

 

Address: _____________________________________________________________________

 

City: _________________________________        State: _______          Zip: ______________

 

Email address: ________________________________________________________________

 

Please complete the following if applicable.

 

My company, ________________________, participates in a Matching Gift program and the required forms are enclosed.

 

All gifts are eligible for a federal income tax deduction.

 

Bukoba Friends Foundation

7814 N Radnor Road

Peoria, IL 61615

 

Bukoba Friends Foundation is a not for profit organization that helps provide medical and educational assistance in Northwest Tanzania.  Federal Tax Identification Number: 46-4034041.

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