CACCC Donation Free Gift 捐贈免費禮物
在9月1號至10月31日之間所收到的300元以上的捐款,將贈送價值20元有關正念或生命關懷的中文書一本,或安心卡一副。
Donations of $300 or more made between Sep. 1 - Oct. 31, will receive a free Chinese book ($20 value), or a deck of Heart to Heard® Cards.

The Chinese American Coalition for Compassionate Care - CACCC 美華慈心關懷聯盟
Contact us at info@caccc-usa.org / (866) 661-5687
Sign in to Google to save your progress. Learn more
1. 姓名 Name *
2. 電郵 Email *
3. 地址 Mailing Address *
4. 捐款日期 Donation Date *
MM
/
DD
/
YYYY
5. 捐款金額 Donation Amount *
6. 網上捐款收據號碼或支票捐款的支票號碼 Online Donation Receipt of Check No *
7. 請選擇一樣您想得到的禮物(只限於捐款日期在9/1/20 – 10/31/20,捐款金額在$300或以上) Choose one of the following gifts (Only available for donations made between 9/1/20 to 10/31/20, and donation amount is $300 or above.) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chinese American Coalition for Compassionate Care. Report Abuse