| 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: _______________ |