Please use this form when mailing contributions to the Andean Rural Health Care.

Curamericas
224 East Martin
Raleigh, NC 27601

Dear Sir or Madam,

Enclosed is a check of $ ___________ written to the "Advance Ministry Frank S. Beck
Hospital Bolivia" as a contribution for use only at "UMC Advance Special Frank S.
Beck Hospital # 005078-8RA."

Please mail a receipt for tax purposes to the above return address.

Sincerely,