________________
Jain Digest
World Community Service
Federation of JAINA
PROJECT MAP
(Medical Aid for the Poor)
O
YES, I WANT TO HELP SHARE FOOD, MEDICINE AND LOVE WITH THE LESS
FORTUNATE PEOPLE OF INDIA.
HERE IS MY TAX-DEDUCTIBLE DONATION TO HELP THE SICK AND DYING
Please check one: O$10 $25
$50
O$100
$500
Dother_
Please make your check payable to "Federation of JAINA" (a non-profit, tax exempt religious organization, IRS Code Section 501 (c)(3) E 1 #54-1280028).
I would also like to join you as a:
D
Physician
O
Volunteer
Name (Please print)
Address
Phone No.
Mail your check, along with this form to:
Dhiraj H. Shah, M.D. Chairman, World Community Service of JAINA 135 Morningside Drive Grand Island, NY 14072
Phone (716) 773-1314
12
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