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Rapha Hope Center
Authentic, Confidential, Affordable Counselling & Development Programs
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In-Kind Pledge
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In-Kind Pledge
RHC In-Kind-Pledge Form
Pledge Information
Frequency of Pledge
*
One time
Ongoing
Preferred In-Kind Category
Service(s)
Tangible Items
Both
(E.g. Services or Tangible Items)
Which item(s) would you like to pledge? [Prices in USD]
*
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Zapier
Preview
Desktop Computers (2 Needed)
BackUps (UPS) – 3 Needed [A known vendor: Fultec Systems Belize]
A/C Split Unit (2 Needed) [A known vendor: Dave’s A/C World]
2 Chair Set $700USD/Chair [A known vendor: Mirab Furniture Store]
1 Chair – $387.50USD [A known vendor: Courts Belize]
Pop Up Tent 20 ft [A known vendor: Hofius Belize]
Paper Shredder [A known vendor: Fultec Systems Belize]
Durable Plastic Folding Tables (2 Needed)
Small Anti-Stress Toys
Paper Cutter
Water Dispenser [A known vendor: CourtsBelize] $300USD
Durable Chairs [16 Needed]
Kids Therapy Games
Inspirational Books for Children & Teens
Office Supplies [Stationary, Pens, pencils, name tags etc.]
Projector Screen
Laptop
Which Service(s) would you like to pledge? [Prices in USD]
*
Belize Water Services (Billed Monthly based on usage)
Belize Electricity Limited (Billed Monthly based on usage)
DigiNet ($54.5USD) Internet Service Flat Rate billed Monthly
CodeGuard Backup 1 Year (2 Domains) $136USD/Year
ZOOM (1 account/1 Month) $15USD/Month
ZOOM (3 account/1 Month) $45USD/Month
MalCare Security (1 Year/1 Domain) $99USD/Year
MalCare Security (1 Year/2 Domains) $198USD/Year
Frequency
*
Monthly
Quarterly
Semi-annual
Annual
Preferred Process
*
I have or will identify preferred vender & make payment to vendor directly
I will pay the Vendor referenced above directly (Delivery not included)
I will pay the Vendor referenced above directly PLUS have item/service(s) delivered
Your Information
Pledging on behalf of
*
a Business/an Organization
A Group/family
Myself
Other
Pledging on behalf of
Name
*
First Name
Last Name
*
Last Name
Name of Business/Organization
*
Address
Address
Address
Address
City/Town/Village
City/Town/Village
District/State/Province
District/State/Province
Zip/Postal
Zip/Postal
Country
Belize
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
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*
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*
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