SPONSORSHIP FORM

Kindly fill out the following form to sponsor a child today. Items with an asterisk (*) are required.

Full Name*
Address
Postal Code
City
Country
Telephone*
Mobile
Fax
Email*
Intermediate Name *
Intermediate Address
Intermediate Telephone
Intermediate Mobile
Intermediate Email
   
I support the educational actions of Paradis d'Enfants and donate: *
 
Other amount  
   
I intend to participate in a tuition to support ...
Number of Children
Type of Sponsorship
     
For the amount of :
Other amount