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Donation Form I would like to make a donation to the Omid-e-Mehr Foundation, (a tax exempt organization, registered in Iran, registration number 18047) for the amount of


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Donation Form
I would like to make a donation to the Omid-e-Mehr Foundation, (a tax exempt

organization, registered in Iran, registration number 18047) for the amount of

_______________Iranian Rials.

Title______Forename______________________Surname_______________________

Home address__________________________________________________________

________________________________________Postcode______________________

Email___________________________________Tel____________________________

Signature________________________________Date___________________________



Return to: Omid-e-Mehr Foundation, Valiasr Avenue, 34 Ali Valadi Street, 1415863536 Tehran


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