Application

and Transform a Life!

Love Of Vietnam Expressed

by helping the poor and needy

Application to Sponsor a Child, Family, or Student Home

** Please send us an application only if you are committed to sponsorship. **
Our children are depending on your faithfulness.

Sponsorship pledges can be paid online or by mail.

You can even set up automatic monthly payments!

If you'd prefer to print and mail your application, click here for a printable version.
(This is a PDF document: Download Free Adobe Reader)

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* = Required fields

*FULL NAME

DATE OF BIRTH		*GENDER
	(Mo/Day/Year)
SPOUSE'S NAME (if applicable)

*MAILING ADDRESS:	*Street


*City

*State/Province

Zip/Postal Code

*Country

*PHONE	OTHER PHONE
(Include Area Code & Country Code if other than US)

*EMAIL	*CONFIRM EMAIL

ALTERNATE EMAIL

BACKGROUND

-Tell us something about yourself that we can share with the sponsored child's family.

Use this section to sponsor a Child, University Student, or Family:
NAME OF THE CHILD/FAMILY YOU WISH TO SPONSOR
	(Select a name and type or copy & paste it)
AREA LISTED ON CHILD'S PROFILE (under child's name)
AMOUNT OF MONTHLY SUPPORT per child/family (Full sponsorship is $25/month/child or $40/family)	$

With God's help, I/we will sponsor this child until educational training is complete (check),
OR for years.

Use this section to sponsor a Student Home:
NAME OF STUDENT HOUSE YOU WISH TO SPONSOR

(To select more than one student home, press "Ctrl")
AMOUNT OF MONTHLY SUPPORT for Student Home
(Full sponsorship is $80/student home)
$

With God's help, I/we will sponsor this student home for: years

AMOUNT OF INITIAL DONATION (If donating today) $

METHOD OF PAYMENT* Online (Paypal/Credit Card) or Mail (Check/Money Order)

*Click here to open a new window with instructions on how to send your pledge.

For your convenience, you can also set up automatic monthly payments through a PayPal account.

*DATE YOU WILL BEGIN SPONSORSHIP (mo/day/year)


*SIGNED	*DATE
(You may type this)
SPOUSE SIGN	DATE
		(mo/day/year)

Important: Please add reggiecoward@vnn.vn and reggie@loveofvietnamexpressed.org
to your email's "safe list", so you will be sure to receive our correspondence.

Thank you for sponsoring a needy child in Vietnam!

We at L.O.V.E. wish to thank you, and pray you will build a lasting
relationship with your sponsored child. God bless you!

If you have questions, contact Mr. Reggie by email.