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| Highlight (select) the following area, print the selection, or click Donate button below, complete and mail with your tax deductible check. --------------------------------------------------------------------------------------------------------------------------------------- DONATION FORM Q's Ministry, BHITS Name of Company: _____________________________________________________________ Your Name :___________________________________________________________________ Contact Phone Number(s): _______________________________________________________ E-mail:_______________________________________________________________________ Address:______________________________________________________________________ Suggested Gift or Donation $50 _____ $75 _____ $100 _____ $150 _____ $200 _____ $250 _____ $300 _____ $350 _____ $400 ____$500 ____ $600 ____ $700 ____ $800 _____ $900 _____ $1000 _____ $1500 _____ $2000 _____ $2500 ____ $5000____ $10,000_____ Other $ _____ Check Amount Enclosed $_______________ (with your donation of $50 or more receive "powerful" prayers.) To which purpose do you most wish for your donation to be allocated? _____________________________________________________________________________ May we recognize your name and/or affiliation publicly? Yes ___ No ____ Please Make checks payable to: Q's Ministry BHITS Signature:_______________________________ Please complete and return this form with your tax deductible donation to: Q's Ministry 10940 Wilshire Blvd., Suite 600 Los Angeles, CA 90024 A receipt will be mailed back to you. ------------------------------------------------------------------------------------------------------------------------- Click on the contact navigation bar to convey comments and feedbacks. THANK YOU! |

Your help defray some of the costs for: 1) Office space 2) Meeting room 4) Administrative support staff 5) Ushers 6) Web-site 7) Advertising 8) Professional services 9) Test - Assessment materials 10) Test - Assessment analysis 11) Test - Assessment reports 12) Equipments 13) Meetings 14) Travel to/from off-site places where services are provided 15) Special events 16) Printing 17) Time & Resources for research 18) Advancement of Sciences 19) Advancement of Counseling Services 20) Advancement of Diagnosis and Treatment of Mental Disorders 21) Public Outreach Radio Programs 22) Storage & Archival Space 23) Service to the community 24) Affordable counseling 25) and other miscellaneous expenses. Receive 4 powerful meditation prayers.. 1) Morning prayer: Awakens, brightens the eye for the morning, gives positive energy for the day, keeps the negative energy away all day. Starts the day with good mood. 2) Prayer for the ill: a "healing" power in the prayer. 3) Prayer for those who lost a loved one: A holy prayer that comforts. 4) After noon Prayer: A brief continued meditation. 5) Evening Prayer: Eliminates fears, prepares for a sound sleep till morning hours. |


| Who pays for mental health services? http://oas.samhsa.gov/2k11/025/WEB_SR_025.htm |