Ukrainian National Women's League of America (UNWLA)

Ukrainian National Women's League of America

HELP SUPPORT UNWLA AND ITS PROGRAMS

CONTRIBUTION FORM
Ukrainian National Women's League of America

Print the form below directly from your browser.
Mail the completed form (please print clearly) with your check to:
UNWLA, Inc., 203 Second Avenue, New York, NY 10003

Last Name

First Name

Street address, Apt.

City

State

ZIP

Telephone/Fax

E-mail

PLEASE APPLY MY CONTRIBUTION TOWARDS:

	Disaster Relief (for ________________________________________)
	Medical aid for victims of Chornobyl
	"Milk and Roll" (Moloko i Bulochka) for school children in Ukraine
	Scholarship Fund
	Ukraine Pension Fund (to aid seniors)
	UNWLA General Operations Fund
	UNWLA Endowment Fund
	Enclosed is my donation to UNWLA, Inc. in the amount of $………………………….

Date:

Signature:

* Donations are tax deductible. UNWLA, Inc. is a non-profit organization under IRD Code 501(c)(3)