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Application Form Sponsorship of Teenager or Youth

Name:
Address:
ZIP code:
City:
State:
Country:
Phone:
Fax:
E-mail:

I would like to help by sponsoring a teenager or youth, through the monthly contribution of R$ 120,00.

Projeto Âncora for children, adolescents and elder people's rights. Phone / Fax number: (55 11) 4612-9966