Donation for Macedonian American Friendship Association
(To print this form, click on the text and then use your normal print options)

Please print and use this form for contributions. Once completed, mail this form and check to:

Macedonian American Friendship Association
57 Jefferson Avenue
Columbus, OH 43215

Please accept my tax deductible contribution of

[   ]  $50                  [   ]  $100                       [   ]  $250

[   ]  $500                [   ]  $1,000                   $___________   Other
___ Check Enclosed (Please make payable to Macedonian American Friendship Association.)

A contribution of $100 entitles you to a Regular Membership; A contribution of $500 makes you eligible to vote at the Annual Meeting

All contributions are tax-deductible as allowed by law.
Your Name: ___________________________________________________________
Address: _____________________________________________________________

_____________________________________________________________
City: ____________________________ State __________ Zip __________

Country:_______________________________
Telephone: _____________________________(To be held in privacy)
E-mail: ________________________________________ (To be held in privacy)
Do you want to be updated of news, events and activities on this email: _____
The following information is optional and helpful in coordinating activities of the Association
Ethnicity and heritage: _________________________________________________________
Are you US Permanent Resident, US Citizen, US Visitor or Foreign Citizen:  _________________________________________________________
Employer, or institution if student: __________________________________________________________
How did you hear about MAFA:

 __________________________________________________________
How would you like to help:

 __________________________________________________________
Would you like to be contacted by MAFA for help in activities in your area, and if so, how would you like to be contacted:

 __________________________________________________________
We thank you for your generosity. All contributions will receive a receipt for tax purposes.