Make a Pledge

To make a life-saving contribution, please fill out the pledge form below.

Please make checks, corporate matches, or other gifts payable to: ‘Gift of Life Belize’. Gift of Life doctors checking on patient

Please mail to:

Attention: Gift of Life Belize,

P.O. Box 2325,

Belize City,

Belize, Central America.

Please be sure to print and include your

pledge form with your donation.


Company:
* First Name:
* Last Name:
Address1:
City:
Country:
Phone:
Fax:
* E-mail:
* Sponsor Type
Donation Amount(BZ$ Currency)
* Payment Type
Special Instructions
Date I will make my donation by (dd/mm/yy):
*Required