ADOPTION  PLUS INC.
A Non-Profit, 501 (c)(3), Licensed Adoption Agency

P.O. Box 297040 Brooklyn New York 11229

www.adoptionplususa.org

    telephone: (347) 410-2850
 fax: (347) 713-8444    

I WOULD LIKE TO MAKE A DONATION TO BENEFIT ORPHAN CHILDREN

       

Donation Amount (min $5 USD)
Billing Address
First Name
Last Name
Street   
City
State / Province
Zip / Postal Code
Country
Home Phone ( ) -
Email

Credit Card info

Name of Card Holder
Credit Card Type
Credit Card Number
Card Security Code          
Credit Card Expiration Month
Credit Card Expiration Year

 

 

 

 

_____________________
Singn

 

 

 

________________________________
Print name (First, Last)