2004 Well Appeal Donation Form   
 

I would like to support the NKFC 2004 Well Appeal.

Please find attached my cheque of ........................  made payable to 'NKFC'
(if in the US, please make the cheque payable to 'The Nginn Karet Foundation for Cambodia')

 
Name: ...........................................................................................
Address: ...........................................................................................
  ...........................................................................................
  ...........................................................................................
Postcode: ...........................................................................................
Work Tel: ...........................................................................................
Home Tel: ...........................................................................................
Email: ...........................................................................................
 

UK: Please print, complete and send this form to:
The Honorable Treasurer, NKFC, 18 Kirk Close, Oxford, OX2 8JN

US: Please print, complete and send this form to: 
The Honorable Treasurer, NKFC, 412 East 84th St, New York, NY10028