For donations or to adopt a doll, please print out this form, complete the details and fax or mail it to us:

Attention: Ms. Yu-ching Lin

The Garden of Hope Foundation

7F, 75 Roosevelt Rd, Sec. 2,

Taipei 106, Taiwan

Fax: (886)(02) 2367-3002

Tel: (886)(02) 2367-9595

Personal Information

Name: __________________________________________________  Telephone:  _____________________

Address: __________________________________________________________________________________________

Email: ____________________________________________________________

Our e-newsletter is free and helps us to keep our supporters up-to-date on events and programs.

May we add you to our mailing list?  c Yes  c No       Today's date: ____________________________

Donations

c I agree to make a one-time donation of  ______________________________   to the Garden of Hope Foundation.

c I agree to make a monthly donation of  ______________________  to the Garden of Hope Foundation for a period of  ___  months from  __________________ to _________________.

Adopt a Doll

1 doll = NT$1,000    2 dolls =NT$2,000    3 dolls = NT$2,800    4 dolls = NT$3,500

Number of dolls:  __________     Preferred color:   c Orange         c Pink           c Green           c Blue

We can arrange local or airmail delivery with the cost added to your payment. Please list receiver's name and shipping address: _________________________________________________________________

Credit card details

Name of cardholder: _____________________________________

Card number:  __________________________________________

Type of card: c  Visa   c  Mastercard    c JBC    c  American Express    c Other  _____________________

Date of expiry (MM/YYYY): _____________________

Signature:  ____________________________

Do you need a receipt?  c  Yes c  No

How would you prefer to receive receipts?  c  One for each donation     c Yearly receipt

Thank you from the Garden of Hope Foundation!