SinhalaNET Membership & Donation Form

Welcome!

          We are happy you have decided to join the Sinhala Community Development Foundation. Your contributions, no matter how small, in money, in kind or in services, will give hope to those in need and will help promising people realize their full potential for the overall benefit our Community. Please fill out the online membership application form below. Membership is open to all members of the Sinhala Community.  Membership information will be kept confidential and will not be disclosed to anyone without your written approval. The mandatory information, identified by an asterisk '*',  must be provided. The other optional information would allow us to interact more effectively with you. The information you provide here will be be entered into our membership database and will be used to keep you updated about our activities by e-mail.

           You are also invited to make a charitable donation to the Sinhala Community Development Foundation either by credit card by providing the information here, or by mailing us a check. You contribution will be acknowledged by e-mail or by regular mail. In the near future, the Sinhala Community Development Foundation will be incorporated as a charitable non-profit corporation in California, and the contributions will be tax-deductible to all US residents on their federal and state tax returns. We will provide receipts for your tax deductible charitable contribution to the Foundation, either by e-mail or by regular mail to the address on record.

        MEMBER INFORMATION

First Name(*):
Middle Name(*):
Last Name(*):
Address Title(*):
Email Address(*):
Job Title:
Company Or
Organization Name:
P.O. Box: 
Mail Stop:
Street Address:
Suite/Unit/Apt. No.:
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
Work Phone:
Fax Number:
       Please Select the Preferred Means of Contacting You:

  Email (Preferred) Mail   Home Phone   Work Phone  Fax   

In What Ways Would You Like to Contribute To SinhalaNET?

Make Charitable Donations to the Sinhala Community Development Foundation. If Cash Donation, please give the donation payment information below. Also, please answer the following questions and/or provide additional information  in the box below.
Serve as SinhalaNET Officer, Interest Area:
Serve as a Membership Drive Volunteer
Serve as a Fund Raising Volunteer
Write Articles for SinhalaNET
Provide Professional Service, Service Area:
Serve as a Publicity Volunteer/Organization Point of Contact

If Making a Cash Donation by Credit Card to SinhalaNET,
Please Provide Payment Information Below:

        Please Select the Payment Period:

One Time Payment,    One Time Amount $:
Annual Payments,       Annual    Amount   $:
Monthly Payments,    Monthly    Amount $:

        Please Provide Your Credit Card Information For Making Automatic Payments:

Visa  MasterCard  American Express  Discover

Credit Card Account Number:
Expiration Date: Month Year

        Please Note:: You may contact us by phone (925) 606-9422 or fax (925) 606-9421 with the above credit card information if you do not wish to provide that  information here.

         Please let us know whether you wish to be identified, or wish to remain anonymous in the published Donors List:

List Donor's Name   List as Anonymous Donor

If Making a Cash Donation by Check to SinhalaNET,
Please Make and Mail the Check to:

Dr. Ananda M. Wijesinghe/Sinhala Community Development Foundation
4435 N. First Street, Unit 427
Livermore, CA 94550 USA
Phone: (925) 606-9422
Fax: (925) 606-9421
E-mail: admin@sinhalanet.org

       If you can contribute to the Sinhala Community Development Foundation in any other way, or have ideas on how we can serve our community better, please let us know below:

                

Please contact me as soon as possible regarding this matter.

          Thank you for your membership application to SinhalaNET! Upon submission of this form, you will be given the opportunity review and modify the information prior to it being e-mailed to SinhalaNET. You will also receive a confirmation of the application, and periodic e-mail updates from SinhalaNET!

 

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