Mawuli Fund Pledge Form
Please fill in your personal information
Title:
Last Name:
First Name:
Middle Name:
Relationship to Mawuli:
Street Address:
Address (cont.):
City/Town:
State/Region:
Zip:
Country:
Telephone:
Fax:
E-mail Address:
Please indicate Pledge Amount in US Dollars
$2500 Founders Circle $300 Banini Circle
$2000 Trost Circle $200 Ohene Circle
$1000 Platinum Circle $100 Blege Circle
$500 Gold Circle Special Contribution:
Would you like your pledge to remain anonymous?
Yes       No		  


Signature____________________________________

     Date____________________

 
Would you like to work on the Fundraising Committee?
Yes      No
Please print your completed pledge form, sign, and date it.   Mail it as soon as practicable to any one of the two addresses given below.  Thank very much for your support of Mawuli School.
In Ghana:

Campaign for Mawuli
c/o Mawuli Tse
P. O. Box 11241
Accra North,
Ghana

 Outside Ghana:

Campaign for Mawuli
c/o Dr.Yao B. Ababio
P. O. Box 940578
Houston, TX 77094
USA



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