Maisha

Maisha Project Number

*IF YOU COMPLETED THE PROJECT WITHOUT FILLING OUT AN APPLICATION AND RECEIVING A CONFIRMATION NUMBER FROM MIO, PLEASE FILL OUT THE FOLLOWING BOX WITH THE PROJECT COORDINATOR INFORMATION:

Name:		Title:
Individual, Church, School, Club or Company Name:

Mailing Address:

Street:	City:	State:
Phone:	Email:	Zip:
Group Website:

How did you hear about Maisha Orphanage?

Project Story:

Type of Project:		Date of Project:
Venue:		Attendance:
City and State:		Amount Raised:
List any website event was referenced on:		Describe Project/Event:

PROJECT PHOTOS
Save each photo as the name(s) of the individual(s) photographed from left to right so we can identify them accordingly. Email photos to info@maishainternational.org or mail them to Maisha International Orphanage P.O.Box 570, Oklahoma City, OK 73101

I understand by submitting this application I am releasing Maisha International orphanage to use all names, information and photos submitted herein on the MIO website, brochures, newsletters, posters, banners, etc. for the purpose of fundraising. I understand I will not receive any compensation. I understand I am not guaranteed my story or photos will be used.