Membership Form

 

For More Information about charitable donations

click here for IRS Publication 526 pdf format

 

Choose from the following options for your membership:

 

Please check one:

Weekly

$1 donation

$5 donation

$10 donation

$20 donation

$25 donation

$30 donation

Other Amount $ _______

Recurring monthly charges

Monthly

$30 donation ($1 daily)

$5 donation

$10 donation

$20 donation

$25 donation

$30 donation

Other Amount $______

Recurring monthly charges

Annual

$365 donation ($1 daily)

$52 donation ($1 weekly)

$100 donation

$500 donation

$1000 donation

$5000 donation

Other Amount $ ______

Recurring monthly charges

Enclosed is my tax deductible donation in the amount of $__________________

 

Please check one:

  Undesignated donation

  I would like to sponsor a project (please state which project) __________________

  Designated donation  ________________________________

 

Please check one:

   I would like to pay by check or money order (please do not send cash)

       Please make check or money order payable to:

       AmerinRio

       80 SW 8th,2000

        Miami, FL 33031

       

  I would like to pay by credit card

      Your Name as it appears on your credit card ________________________________

      Credit card type: Visa / MC /Amex: (circle one)

      Credit Card Number: _____________________________________________

      Expiration date: _____/_____/______

      Security Code Number (see back of the credit card) : ________

      Billing Address: _________________________________________________

 

  I would like to be invoiced

       Please send my invoice to: 

       Name________________________________________________

       Address ______________________________________________

       Your email address ______________________________________

       City, State, Zip _______________________

 

 

You may also mail us your donation form to:

 

 AmerinRio, Inc.

International Headquarters

80 SW 8th,2000

 Miami, FL 33031

You may fax us your donation form to:

 

 USA:(305) 246 4071

    Brazil:(021) 3406 9568

 

 

  AmerinRio, Inc is a US 501 c 3 nonprofit charitable supporting organization and a Brazilian NGO dedicated to minimizing the effect of poverty around the world. if you have provided us with your address we will send you a receipt for your donation .All donations are tax deductible and the proper receipt will be issued accordingly .Call us for more information: (305) 4237084 US or (021) 34069568.

Thanks for supporting our cause!

We are actively recruiting volunteers for the upcoming Calendar year of events, and administrative operations. The new volunteers will receive free training and experience in helping to make life better and brighter for the future of our world!

Please complete the below form and our Volunteer Coordinator will contact you to setup an interview.  Please complete every line so we can have the best information to help evaluate how and in what capacity that we can utilize your skills and capabilities.

Name:   First/Middle/Last: / /
Address:  
City/State/Zip Code" / /
Telephone#: Home/Cellular H /C /B
Email Address:
Age: / Sex: / Marital Status: / /
Occupation:
Education:
Degree / Certificates  / Program
Institutions Attended
Brief Description of why you want to volunteer:
How did you hear about Volunteering or about our organization?
Area of Interest ?      
How many hours are you available ?
Best time to be reached by telephone ?

 

  For more information, please call us at (305) 426-0708 or email us at admin@amerinrio.org

 

 
 

 

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