Contribution




	*"Cultivating the Seed of Youth"*


	Please Print This Form and Mail To: ZERA FOUNDATION 1249 S. Diamond Bar Blvd., #345 Diamond Bar, California 91765-2226

		Contributor Information

Name:

Address:

City, State & Zip:

Daytime Phone:

Fax:

E-Mail:


	Please find my gift to help a child/children in the amount of $


	MANY EMPLOYERS OFFER A MATCHING GIFT PROGRAM. PLEASE CHECK WITH YOUR EMPLOYER TO SEE IF YOU MAY QUALIFY

Make check or money order (no cash please) payable to:

ZERA FOUNDATION

Remember: All Contributions Are Tax Deductible!!