Donations

Name/Firm:____________________________ Spouse ________________________________

Address:____________________ City______________ State____________ Zip___________

Phone: ( ) ______ - _______

I am happy to contribute $1,000.00__ $500.00__ $250.00__ $100.00__

Signature of doner                                                   Date

__________________________________                   ______________________________

* Make check payable to Fai Neng Vang or Cher Kaj Yang

_____________________________________________________________________________

Nyaj Sab Dlawb

Npe:_______________________________ txwj nkawm _______________________________

Chaw nyob _____________________ nroog ________________ xeev _____zip __________

Xuv tooj ( )______ - _______

Kuv zoo sab tshwm nyaj $1,000.00__ $500.00__ $250.00__ $100.00__

$50.00__ $25.00__ Lwm yaam___________ txhawb nqaa Koom Txoos Hmoob Hum Xeeb

Suam npe tug tshwm nyaj                                         Nub tim

__________________________________                   ______________________________