Complete the form below and Mail to:
The American Pan-African Relief Agencies, Inc.
P.O. Box 1626 Triboro Station
New York, NY 10035

Non-Financial Donation

The American Pan-African Relief Agencies also accepts and appreciates non-financial donations, such as non-perishable foods, pharmaceutical products and supplies for HIV/AIDS, hospital and medical supplies and equipment, educational supplies and equipment including new and used computers, new and used vehicles and general relief materials.

Please complete this form and mail to the above address or email to info@apara.org

Name: ___________________________________________________________________

Address:__________________________________________________________________

City____________________ State::_________________ Zip Code:__________

Telephone:_________________________ Fax:__________________________

E-Mail:_________________________________________

Please indicate the type of donation:

(a) Food (b) Other Merchandise Donations
(c) General Medical Donations - such as Medical & Education Supplies, HIV/AIDS Medication, Other Pharmaceutical Products

Description of Food to be donated:_____________________________________________
________________________________________________________________________

Description of other products in (b) and (c) above, to be donated:______________________
________________________________________________________________________
________________________________________________________________________

Quantity:_______________ Type of packaging:________________________

Terms of Delivery:__________________________________________________________

New or Used vehicles – please give full details; particulars and quantity: _______________
________________________________________________________________________
________________________________________________________________________

Your generous donations to help those in need can be made by credit card or e-check online through our secure website, or by regular mail using this form. We also welcome non-financial donations of medical, educational, computer and other supplies. Please tell us about your non-financial contribution using this form. All donations will be gratefully acknowledged for tax purposes.