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| Highlight (select) the following area, print the selection, or click Donate button below, complete and mail with your check. --------------------------------------------------------------------------------------------------------------------------------------- DONATION FORM Q's Ministry of AIWP (Association for the Integration of the Whole Person) 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? _____________________________________________________________________________ Please Make checks payable to: Q's Ministry of AIWP Signature:_______________________________ Please complete and return this form with your donation to: Q's Ministry of AIWP / Behavioral Health Image Therapies 10940 Wilshire Blvd., Suite 600 Los Angeles, CA 90024 ------------------------------------------------------------------------------------------------------------------------- Click on the contact navigation bar to convey comments and feedbacks. THANK YOU! |

| Your donations make it possible to provide services to those who can not afford counseling, to pay for the expenses, to help Q's Ministry of AIWP and AIWP (501(c)3 non-profit association) grow so that we can serve the world better. We thank you for making the world a better place by supporting our services with your financial contributions, gifts, and donations. Your donations help defray some of the costs for: 1) Office space, 2) Meeting room, 3) Telephone, 4) Administrative support staff, 5) Web-site, 6) Advertising, 7) Professional services, 8) Assessment materials, 9) Assessment analysis 10) Assessment reports, 11) Equipments, 12) Meetings, 13) Travel to/from off-site places where services are provided, 14) Special events, 15) Printing, 16) Time & Resources for research, 17) Advancement of Sciences, 18) Advancement of Counseling Services, including Pastoral Counseling Services, 19) Advancement of Diagnosis and Treatment of Mental Disorders in all ages, 20) Public Outreach Radio Programs, 21) Storage & Archival Space, 22) Free service to the community, 23) and other miscellaneous expenses. With your donation or gift of $50 or more receive 4 powerful meditation prayers.. 1) Morning prayer: Awakens, brightens the eye for the morning, gives positive energy for the day, keeps the 'evil' or negative energy away all day. 2) Prayer for the ill: a "healing" power in the prayer. 3) Prayer for those who lost a loved one: A holy prayer that truly comforts. 4) After noon Prayer: A brief continued meditation. 5) Evening Prayer: Eliminates fears, prepares for a sound sleep till morning hours. |

