To join us
print this page and fill it out then
mail it to the Address at the bottom.

Name_______________________________________
Address____________________________________
City ______________________State _________ Zip________
Phone (daytime) (___) ___-____ Phone (evening)(___) ___-____
I would like to volunteer by: _____ answering the hotline
_____ transporting _____ fundraising
_____ using my special abilities (teaching classes,
helping in the office, paperwork, etc.)
_____ furniture, food, building materials, etc.
_____ monthly financial donation_____$20_____$10
____$5 _____other amount ______ one time financial donation $_____
_____ Memorial Donation - Your loved one's name will be added.
If you prefer to donate but, want the name of your loved one
kept anonymous, simply write anonymous.

Please specify the amount you are donating.
_____$25 _____$50 _____$75 _____$100 _____ other
amount to:
Enclosed is check/money order for $_________

Charge: Visa , Master Card , Discover

Account Number __________________ Exp ____/____

Mail to: Yeme Hailu DBA Addis Internet Services
P.O. Box 1375, Venice, CA. 90294 USA

Receipt with thank you card will be mailed to you.