If you wish to become an associate member of Help for the Andes Foundation please fill in the following form:
  Names   Last Names  
  I.D. #   Address  
  District   City  
  Phone   Fax  
  E-mail   Occupation  
    AMOUNT OF MONTHLY DONATION
  $10.00    $ 50.00   $ 100.00    OTHER 
    MEANS OF PAYMENT

         CREDIT CARD: (in process)       
         CHECK     
  wish to make my monthly contribution on the of each month. The check crossed & payable to Fundación Help for the Andes should be picked up at the address indicated above. Please remind me by phone on the of each month.
         DEPOSIT     
  If you wish to make a monthly deposit in our bank account, please do so in the name of:

Help for the Andes Foundation

LOCALLY:

Banco Security
Augustinas 621, Santiago Chile

Payable to:
Help for the Andes Foundation

Local currency Account Number:
E-455946-01

US Dollars: Account Number:
5-0455946-55

INTERNATIONALLY:

Route Bank in the USA:
Deutsche Bank New York
Swift Code (Bankers) BKTRUS33

Payable to:
Help for the Andes Foundation

Account Number:
5-0455946-55

Swift Code (Security) BSCLCLRM


Please send us the deposit slip by fax to the following number:
(56) (2) 537 3760
Whatever the means of payment you chose, please send us this mandate by fax to the following number: (56)(2)273-2671

www.helpfortheandes.org