I want to provide scholarship monies and/or sponsor children from Samoa to allow them to go to school.
Please provide your contact information:
Name Street Address Address (cont.) Village/City State/Prov./Island Zip/Postal Code Country Work Phone Home Phone E-mail
Check all that you wish to contribute to:
$75.00 Tuition $20.00 Fees (testing, books, etc.) $20.00 Uniforms (2 with slippers) $10.00 School Kit (bag & supplies) All of the above I would like CERF to choose
Total Contribution?
I would like to sponsor (child's name, or eg. 2 boys, etc.)
Parents names
School attending
Village name
What is the best way to contact this/these individuals? (Telephone #, Principal's name and telephone #, Relative's name and telephone #.)