Sponsorship Application

Dear Sponsor,

Thank you for deciding to sponsor one ‘Yawenta’ child. First, please fill out the following form. The information you are providing will be treated confidentially.

Name: ………………………………………………                Address: ……………………………………………………..

Telephone Nr.: ……………………………………                 ………………………………………………………………….

Age: …………………………………………………                 E-Mail: ……………………………………………………….

Female/Male: ………………………………………                Occupation: ………………………………………..

Preference for sponsoring a specific child?                    Comments or suggestions? …………………………..

………………………………………………………..                 ………………………………………………………………….

I wish to transfer my contribution

• In a single payment at the beginning of the year (300 Euro, 264 UK Pounds, or 420 US Dollars per year)
• In monthly installments (25 Euro, 22 UK Pounds, or 35 US Dollars per month)

I hereby agree to become a sponsor for one child for the duration of one year.

Signature: _____________________________        Date: _____________________

Please send this application to the following address:

Positive Action Charity Organization – Isheba Tafari

P.O.Box 294, Shashamane, Ethiopia

Alternatively, you can send the application to our e-mail address: ivision33@yahoo.com.

As soon as we receive your application, we will send you a photo and information about the child you are sponsoring. It is up to you whether you wish to make personal contact with your child; we promise to pass on any letters and photos you may send to your child and translate them to Amharic. You will receive quarterly reports about our project and on request about the individual progress of your child.

Please transfer your monthly or yearly contribution to the following charity bank account:

Positive Action Charity Organization,  Account Number 002951 5698 001, SWIFT Code: DASHETAA, Dashen Bank, Shashamane Branch, Shashamane, Ethiopia

We promise that every cent of your contribution is used directly for the benefit of your child!