The EHSF is a Missouri not-for-profit corporation which allows donations to be used as tax deductions in accordance with IRS 501(c)(3) regulations. EHSF Missouri Certification number is NOO607682 and Federal IRS EIN is 30-0315354.

Please print and complete this form and mail it to the address below to donate to EHSF.

Yes, I want to help! My gift is enclosed:

$25   $50   $100   $500   $2000   $______
I want to make regular monthly gifts of $______
Please contact me, I want to donate in-kind.

Please make checks payable to Ethiopia Health Support Foundation.

If you have any questions, call 816-873-6422.

Name:__________________________________________

Address:________________________________________

City:________________________ State:___ Zip:________

Phone:(___)_____________ Email:___________________