(A non-profit Organization)
366 North Broadway, Suite 410-A1, Jericho, New York 11753
IALI is pleased to collect donations to help in the recent tragedy in Haiti. A donation of at least $10 per family is recommended for the Haiti relief fund. Please fill out the attached form for your donation and make your check payable to IALI. The collected funds will be presented to the Indian Consulate in the function. The Chief Guest will recognize the Relief fund Donors of $100 and more at the podium.
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IALI Haiti Relief Donation form
NAME__________________________
Address_______________________
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Circle Donation amount: $10 $25 $50 $100
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Check Number : _________________