(   ) support  BrazilFoundation with monthly contributions of $   

(   ) make a gift of:   $50    $100    $500    $1000    $2000    other  $ 


Name   Email Address   Telephone


Address   City   State   Zip Code

(   ) Enclosed is my check made payable to BrazilFoundation

(   ) Please charge my Credit Card:   Amex    Visa    Mastercard  

Card #       Exp:  /   


Signature:   Date: 

Donors contributing $30 or more are entitled to receive a personalized BrazilFoundation benefits card valid for one year renewable each year. Please select your Friend of BrazilFoundation card here:


 education

 health

 human rights

 culture

 citizenship

BrazilFoundation offers tax advantages to donors in the United States according to Section 501(c)3 of the US Tax Code, which permits donations for charitable ends to be deducted from personal and corporate taxes. Our EIN is 13-4131482.

To make your contribution, please print this form and send it by:
FAX to (212)244-4334 or
MAIL to BrazilFoundation: 345 Seventh Ave. #1401 NYC, NY 10001 or
CALL us at (212) 244-3663.