Project Donation Form

1
To which Project would you like to donate?* This field is required.You may only donate to one Project at a time.
Giving Tuesday
Christmas For The Children
Dental Clinics - Operating Fund
Dental Clinics - Building Fund
Breakfast with Children
Classroom & Dormitory Construction Project.
Educational Child Sponsorship
General Fund
Other
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2
What area would you like to donate toward?Additional comments are invited.
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3
Name* This field is required.
First Name
Last Name
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4
Your Email* This field is required.
example@example.com
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5
Your Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Phone Number* This field is required.
Area Code
Phone Number
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7
The Dental Building Fund Will Allow us to Provide Dental Care to Those Who Would Never Have Received it.* This field is required.It costs Let Love only $30,000.00 to set up a Dental Clinic. The cost in The USA is more than $170,000.00
$25.00
$50.00
$75.00
$100.00
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8
Feed Hundreds of Malnourished Children at our Feeding Stations.* This field is required.For just $50 you could feed 40-60 children breakfast.
15.00
$10.00
$25.00
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9
Free Dental Care for Children in Desperate Need.* This field is required.For just $200.00 Let Love can provide for the dental needs of 50 children! The value of these services would exceed $6,000.00 in the U.S. Thanks to our people like YOU, volunteer dentists, donated dental equipment and donated clinical space, we are able to provide these services.
$20.00
25.00
$50.00
$75.00
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10
Classroom & Dormitory Construction Project.* This field is required.Classrooms and supporting structures to teach the 40 children in our Child Sponsorship Program. Dormitory housing will be utilized by missionary and service groups assisting in the school and Dental Clinic.
$25.00
$50.00
$100.00
$200.00
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11
Educational Child Sponsorship* This field is required.This is a program designed to insure that our children will be career or college ready when they graduate the public school system. We cultivate the social, emotional, leadership and soft skills which are the "Keys to Success".
$25.00
$50.00
$75.00
125.00
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12
General Fund* This field is required.Funds are always needed for the daily operation of Let Love.
$10.00
$15.00
$20.00
$25.00
$50.00
$100.00
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13
Other* This field is required.
$10.00
$15.00
$20.00
$25.00
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14
Giving Tuesday* This field is required.Giving Tuesday Gifts Will be Used Where The Need is Greatest.
$10.00
$15.00
$20.00
$25.00
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15
Childrens' Christmas - 360+ Children Will Be able to Celebrate* This field is required.Extremely Impoverished Children Living in Chincha, Pirua, Callao, and Lima, Peru, will have a Christmas.
$10.00
$15.00
$20.00
$25.00
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16
Would you like to make an additional gift of $2.75 to help us pay for bankcard processing fees?
YESNO
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17
Calculationmonth
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18
My Monthly Donation
Monthly Subscription
USD for each month
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Total $0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
2019
Expiration Year
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