Haitian Hope
Organization

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"HHO is the way all
Haitians Around the
World Stay Connected"


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Haitian Hope Organization Membership

Please fill out the information below or to download a printable application and send it by mail please choose one of the following formats.

     > Membership Application  (PDF)
     > Membership Application  (Word Document)

     > Volunteer Form  (PDF)
     > Volunteer Form  (Word Document)


                              *
Required Fields

FORM


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 Name *
___
Address

*


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City

*

State   Zip
___
Phone   Cell 
___
 E-mail

*


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Are you of Haitian Descent?   Yes
  No
___
Where were you born?
___
How long have been in the US?
___
When was the last time you travel to Haiti?

___
Do you feel comfortable about going to Haiti?   Yes
  No

___
If NO
(check all that apply)
Because of insecurity
Because I just don't want to go
Because I left the country for so long
Other 
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Education or Skill training High School
College/University
Other
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How can you help Haitian Hope Organization to accomplish its mission?
___
$15.00 Donation   Send me an invoice
  Check is in the mail
Mail checks to:
H H O
P.O. Box 343129
Florida City, FL 33034

     

 

 

 

 

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