[Chinese Version]

 Donation Form for Xie Yu Education Foundation

Donor Name	Co-donor Name
Donation Amount
Mailing Address
Email Address
Phone Number
Do you agree to list your name in our Acknowledgement page?                        Yes         No
Optional: Your Education Background
Optional: Your Comments and Suggestions

Please include a check/money order with this form, make it payable to "Xie Yu Education Foundation", and send them to the following address.
If you live in China, send to	If you live overseas, send to
Xie Yu Education Foundation c/o  Bao Jiguang Department of Mathematics Beijing Normal University Beijing 100875, China	Xie Yu Education Foundation Song Guo 412 Parker Street Unit F Newton, MA 02459, USA