Sponsors

MISSION-CHIROPRACTIC

CHIROPRACTIC MISSION TRIPS

Sponsorship / Donation

Dear Sponsor / Contributor:

Thank you for expressing interest in becoming a sponsor or contributor to Mission-Chiropractic. With our help Mission-Chiropractic will be responsible for providing free chiropractic care and delivering drug free health care to millions of people. We will be providing services in areas where drug free healthcare does not exist. With your help Mission-Chiropractic will also be responsible for helping rescue orphans in third world countries. These are disabled children who have been left homeless by their parents. The parents could no longer afford to provide for their families. This is a society stricken with extreme poverty. The goal of Mission-Chiropractic is to reach out to Third World countries and Give for the Sake of giving through the hands of chiropractic.

Mission-Chiropractic is currently raising funds to help construct a nw building for an orphanage in Trinidad.  Our primary and urgent goal at this time is to raise $15,000 which is the projected amount to construct the new building. All proceeds of your donation will go to the construction of the new church. Our secondary goal at this time is to raise yearly donations that will fund our first Mission-Chiropractic Center.  The Center will provide drug free health care to the people of the Trinidad. Your donations will help pay for the supplies necessary to run the clinic. This includes staff salaries. Thanks for your continued support of our profession and humanity.

Yes I want to help the orphans in these countries. Enclosed is my electronic monthly contribution to enable MISSION-CHIROPRACTIC to bring drug free health care around the world. I understand that every dollar I send will provide 50 times its value in drug free health care.

Please send a gift today of whatever you can afford. Your donation will bring dreams of hope to the people and orphans of the Dominican Republic. Without people like you, their lives would not be the same.

Please remember the orphans of the Dominican Republic, Haiti, Trinidad and Cuba by contributing monthly to MISSION-CHIROPRACTIC.

Please make electronic monthly donations of $25, 50, 75 100, $200, $300.

Yes I want to support MISSION-CHIROPRACTIC to provide drug free health care to poverty stricken areas around the world. Enclosed is my electronic monthly contribution of $25, 50, 75 100, $200, $300.

Yes, I want to help to provide drug free health care to third world countries. Yes I want to help the orphans in these countries. Enclosed is my electronic monthly contribution to enable MISSION-CHIROPRACTIC to bring drug free health care around the world. I understand that every dollar I send will provide 50 times its value in drug free health care.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name: _______________________________________________________

Office Address: _______________________________________________

City: ____________________     State: ________             Zip Code: __________

Work Ph: (____)-______________                 Fax # :  (____)-_____________

E-Mail:  ________________________________

Payment: �  VISA               �  MC            �  American Express

Credit Card #: ______________________________________                   Exp Date:  _____/_____

Enter Four Digits for Amex Card: __________

Please Check one: Total �  $40 (One T-Shirt)           �  $65 (two T-Shirts)          �  General Donation To In The Amount Of _______     �  Video Sponsor $1,500 ( October 2009 _______, January 2010 _______)

X Signature:  _______________________

 Credit Card Users May Fax Completed Registration with payment information to (212)-781-8859.
You may also mail completed registration form with credit card information to: Mission-Chiropractic 651 W. 180^th St. New York, NY 10033

Sponsorship Levels

1)     General Donations: This level is just as special and necessary as any as anything you donate can help. We will list all contributors on our website and newsletter and will grant all donors discounts on future events and products.

2)     Bronze Sponsorship ($500):

3)     Silver ($1,500): Video donor.

4)     Platinum Sponsorship ($2,500): This level gets everything including a 30 second spot on the video where you can mention that you are proud to be a part of the video project etc.