World Family Center
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1. You can write your opinion about the objectives, extension/ expansion and usefulness to human beings of this World Family Center
2. Write your complete information below.
First Name
Last Name
Organization & H. No.
Living Address
City
State/Province
Zip/Postal Code
Country
Work Phone with Code
Home Phone with Code
FAX
E-mail
URL
3. Please identify and describe yourself:
Birth place
Time of Birth am/pm
Date of Birth
Birth City
Birth State
Birth Country
Sex Male Female
4. If you possess any special qualification, write it below.
5.  Write your opinion about our objectives of making the World Family Center ( maximum number of words 100).
I (name of the thing donated ( amount/ quantity) voluntarily donate for the World Family Center.