Donation Information for Climb Team Use
Note: completing this form does not execute your donation, you must click “continue” and make your donation through the Presbyterian Church (USA)’s Secure Donation Service.

For questions phone: (800) 555-1234

Note: All donations exclusively support the Christian Hospital Quetta and its Extension Programs.  Climbers are responsible for their own costs of participation

Donation Information

Donation made in name of:	Total
Total donation made

Donor Address

Name
Address
City		State
Country		Zip
Email *

* Ordinarily donors are enrolled in the Chiltan “egroup”, an electronic newsletter with updates and breaking news about the Climb.  Email address required.

  I do not want to join the Chiltan egroup.