PLEASE PRINT PAGE, FILL FORM AND MAIL TO THE FOLLOWING ADDRESS:  

Value Life Foundation, 400 Limestone #627 - Irvine, CA 92603, USA

Fax to: (949) 241-7659  or Call : 1-877-helpVLF
 

MAKE CHECKS PAYABLE TO: Value Life Foundation
Major credit cards & MONEY ORDERS ARE ACCEPTED

Our database is strictly confidential

  ALL CONTRIBUTIONS ARE TAX DEDUCTIBLE
  Program # of S Amount S   Total   
  Libyan Crisis       =

  
  Needy families S x $100 =   
  Charity (Zakat Al Mal*)       =   
  Sponsoring an Orphan S x $35 =   
  $1/day Program       =   
  General Donation (Sadaqah**)       =   
  TOTAL AMOUNT ENCLOSED =   

Make payments in U.S. dollars.

 Payment Method:
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 Select one or more:
 USA          Africa     Asia      South America     Middle East  
 Europe      WHERE NEED IS MOST   

 

 NAME :
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*  The Alms or Zakat is an annual amount in kind or coin a Muslim must distribute among rightful needy beneficiaries.

** Sadagah is basically the Arabic word for charity in general.