Orphan Act - Donate

Please fill-in the form below to pay by check. Your information will be recorded and the amount credited when the check is received. Please make the check payable to OrphanAct and send it to:.

Mailing Address:

OrphanAct

2439 South Kihei Road

Suite 207B

Kihei, HI 96753

Otherwise, you can donate by PayPal

First Name	Last Name

Organization

Address 1

Address 2

City	State	ZIP Code

Phone

Area Code Number

email address

Amount of Donation

$ .00

Check Number Bank

Please select an Option:

Pre-fund a Facility Project

Fund a Project

Let OrphanAct decide

Consider these additional options!

Click Yes to become a Facility Sponsor Yes No
Click Yes if you are interested in volunteer opportunitiesYes No