Team!Tazama Monthly Pledge:

$10 $20 $30  $40  $50  $60  $70  Other $

Name: 

Address: 

City:    State:    Zip: 

Telephone:  

Fax: 

E-mail: 

Signature: 

Enclosed is a check for my first month's contribution made payable to Tazama!Trust. I authorize an electronic funds transfer each month of the above amount from my checking account to Tazama!Trust. I understand that I may change or stop my monthly pledge at any time and that a record of each donation will appear on my monthly bank statement.

Please Keep a Copy for Your Records and Mail to:
Tazama!Trust
c/o L. Cobarrubias
2444 Wilshire Blvd., #406
Santa Monica, California 90403 USA

Tax receipt provided. Tazama!Trust is a California non-profit public benefit corporation and is tax-exempt under 501 c (3) Internal Revenue Code in the United States. It is a registered organization in Tanzania and holds a certificate of incorporation.
© 2000 Tazama!Trust