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Restavec Freedom Alliance, BEM Inc.
Home
RFA Haiti Store
RFA Haiti Store
Shopping Cart
Checkout
About
Mission & Goals
Our History
Our Team
Manual
In the News
Our Program
RFA Haiti – Step Program
Children in Chantal, Haiti
Children in Ducis, Haiti
What are Restavec?
Volunteer
Trip Application
Passport & Emergency Info
Volunteer Guide
Trip Payment
Medical Info Form
Parental Consent Form
Donate
Blog
Contact
Setup Child Sponsorship
Credit Card Update Form
Home
RFA Haiti Store
RFA Haiti Store
Shopping Cart
Checkout
About
Mission & Goals
Our History
Our Team
Manual
In the News
Our Program
RFA Haiti – Step Program
Children in Chantal, Haiti
Children in Ducis, Haiti
What are Restavec?
Volunteer
Trip Application
Passport & Emergency Info
Volunteer Guide
Trip Payment
Medical Info Form
Parental Consent Form
Donate
Blog
Contact
Setup Child Sponsorship
Credit Card Update Form
Setup Child Sponsorship
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Donate – PayPal
Setup Child Sponsorship
Restavec Freedom Alliance, BEM Inc., is a non-profit, 501(c)3 organization. Child Sponsorship donations are monthly recurring donations. You will immediately receive a donation confirmation and receipt. Your donation is tax deductible to the full extent of the law. Our EIN is: 31-1717364.
Your Name:
*
First
Last
Your Email:
*
Enter Email
Confirm Email
Child:
If you have contacted us about the selection of your sponsored child please input his or her name below. If you have not contacted us we will contact you very soon to help you select a child.
Credit Card Information:
*
Please enter your credit card information below. All transactions are processed via Stripe, a secure credit card processing platform. We do not store your credit card information.
American Express
Discover
MasterCard
Visa
JCB
Maestro
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
Sponsorship Option:
*
Please select one of the options below.
Half monthly sponsorship 2020 $75.00
Monthly sponsorship 2020 $150.00
Quarter monthly sponsorship 2020 $37.50
Biannual sponsorship 2020 $900.00
Quarterly sponsorship 2020 $450.00
Full yearly sponsorship 2020 $1,800.00
Billing Address Information:
*
Your billing address will be used to verify your credit card information.
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
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 Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
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 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
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
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, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Recurring Donation Agreement:
*
This agreement authorizes Restavec Freedom Alliance, BEM Inc. to automatically charge your credit card. Charges will occur on the same day each cycle. This agreement will remain in effect until written notification from the donor is received.
Yes, I agree.
Δ
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