Address: New Possibilities Children’s Foundation
             PO Box 375 - Van Nuys, Ca 91408

Phone:  Marc Chaiet, Director
310.995.7896

I would like to support
the New Possibilities Children’s Foundation
in the amount of:  $ _________.

Name:                                                                                     

Address:                                                                                  
             ___________________________________________________
City:                                              State:      Zip Code:               Phone:                                      E-mail:                                  ___

If mailing a check, please make check payable to:  New Possibilities Children’s Foundation
You may charge my:   □ VISA   □ MasterCard   □ American Express
Credit Card #:                        _____                        
Exp. Date:            /       __ 

Name as it appears on card:                                                 

We are grateful for your support of New Possibilities Children’s Foundation Your Contribution is tax deductible, up to the limit allowed by law, under 501(C) (3).

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