Donation Form

Please PRINT and mail with your donations to:
Vietnamese Community of Minnesota
P.O. Box 40207
St. Paul, MN 55104

Name:
Organizanation:
Address:
City - State - Zip Code:
Donation Amount:
Would you like your name to be listed?	YES______ NO______
Additional Information: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________