Medical Delegation 2016 Donation   



Mailing Address 1


Mailing Address 2




State          Zip       Country 


Phone (home)


Phone (cell/mobile) 




Amount of Donation
  What is the purpose of the donation?
          Volunteer Participant ($500)   
          Unrestricted Donation 
          Education Fund 
          Help someone with trip expenses (put name of recipient below) 


Name of Participant you are helping 

 I am paying my donation by: 

Online Payment Submit your donation and you will have the opportunity to complete your payment online. If you wish to use a credit or debit card we use PayPal as our payment processor. They take $0.30 plus 2.2% of each donation (e.g., $511.55 will result in a $500 donation).
I will mail a check

Checks should be payable to The Olive Tree, Inc & mailed to:

The Olive Tree, Inc
c/o Virginia Scrivener, DVM
33Hebb Rd
Hagerstown, MD 21740

Please hit Submit even if you are paying by check so we can send you a tax receipt.