I, {name80}, affirm that the statements provided on this application are true to the best of my abilities. If any statements wherein are found to be untrue, your application will be denied.
Making the Impossible, Possible, Inc.
Program Coordinator
P .O. Box 360171
Brooklyn, NY 11236-0171
631-954-1920
info@mipoinc.org
www.mipoinc.org