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"He took the little child and had him stand among them. Taking him in his arms, he said to them, “Whoever welcomes one of these little children in my name welcomes me; and whoever welcomes me does not welcome me but the one who sent me.” ~Mark 9:36-37~
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Information Request
Little Miracles International Program Information Request Form

COMPLETELY  fill out the following if you are requesting program info:

Note:  The items with a red star are required items! Please make sure your e-mail address is correct before you send.  So many people type the incorrect e-mail address and we have no way to send them information! If you have not heard from us you may assume that your e-mail was incorrect or that your mail bounced back so please resubmit your form.

Do not hit ENTER until you get to the end of the form. If you accidentally do, please just push your BACK button and redo the form.

There are significant delivery issues to YAHOO e-mail, so please provide an alternative address or you will not get the info you have requested.

What particular program are you requesting information on? 

BULGARIA
CHINA
 ETHIOPIA
 HUNGARY
 KAZAKHSTAN
MEXICO
RUSSIA
UGANDA
UKRAINE
 ORPHAN HOSTING PROGRAM
 HOUSE OF ANGELS - ROMANIAN SPONSORSHIP
 CHARITABLE DONATION INFORMATION
 WISH UPON A STAR RUSSIAN - CHILD SPONSORSHIP

*Your full name:

Spouses Name:

*Your email address: (e.g.: you@aol.com)
Email information is required! Please check to see if you have typed the correct address.

*Your phone number (with area code):

Your work phone number:

Fax number:                      

Address:

 

City/Town:

 State: Post/Zip Code:
 

Country:

*Marital Status:  Single    Married  

*Age:

*Age of Spouse:

*Years Married:  

*Number of children in the home:    

*List all ages of children currently in the home and those away:

Age of child you would like to adopt or host:   

Number of children you wish to adopt or host:   

Sex of child you wish to adopt or host:    Male    Female  Either

Have you started any adoption or hosting paperwork yet?    No    Yes

Some details about your family and your interest in adoption or hosting. If you have started the process or paperwork, what have you done so far?

If you are interested in a particular child on the photo listing, which child?

Further comments or questions for our staff to review, feel free to ask detailed questions here and we will get back with you very quickly:

What particular program are you requesting information on? 

Please tell us how you heard about us!!!

     

Allow time for the request to process before leaving, and do not push the send button repeatedly.

No part of this site can be reproduced without written consent of the webmaster.
© 1999-2010, Little Miracles International, Inc. All Rights Reserved
Note: Due to the nature of international adoption, all information contained on this webpage is subject to change without notice.