IMHO Check Donation Form

InternationalMedicalHealthOrganizationI.M.H.O.

Anon‐political,non‐profit,humanitarianorganization

A501(c)(3)registeredcharityinUSA

DonationsbycheckName:_____________________________________________________________________________________________Address:_________________________________________________________________________________________City:______________________________________State:________________________Zip:______________Phone:______________________________________Email:___________________________________________Comments:

Pleasemakecheckspayableto“IMHO”andmailyourdonationsto:

Rajam.TheventhiranTreasurertoIMHO

955ProprietorsRoad,SuiteBWorthington,OH43085

U.S.A.

SignUpOnline!

UseyourcreditcardtosignuponlinethroughoursecurePayPalsystem.

Foryourconveniencewehavesetupanumberofoptionsforyoutomakeadonation.

Pleasevisitourwebsiteatwww.theimho.orgformoreinformation.

A501(C)(3)registeredcharityorganizationinUSAFederalTaxIDNumber:59‐3779465

www.TheIMHO.org

Tel: 347.601.1364; Fax: 718.554.1723 Email: contact@theimho.org