Yes, I would like to support the Lynck Foundation!

Please direct my donation to:

[     ] The Lynck programs that need my support the most.

[     ] The Lynck School Building Fund.

[     ] The Lynck Scholarship Fund.

[     ] The Lynck Parent-Teen Program.


Name (in Chinese): _______________________________

Name (in English) : _______________________________

Address: _____________________________________________

City: ________________________________________________

State/Country:________________ Zip/Postal Code: __________

Phone: _________________________________________

Email: __________________________________________

Donation Amount: ________________________________

Check/Cheque Number: ___________________________

Please make check/cheque payable to Lynck Foundation and send it with this registration form to:

Lynck Foundation
P.O. Box 3808
Los Altos, CA 94024-0808
USA


Signature: _______________________ Date: _______________