| Name: |
__________________________________________ |
| Address: |
__________________________________________ |
| City/State: |
_______________________________Zip:________ |
| Telephone: |
__________________________________________ |
| Email address: |
__________________________________________ |
I would like to designate my gift of $________ to be used for:
_____ Support the Children (recurring monthly gift)
_____ Wherever Most Needed
May we contact you with news updates and future needs? ___(Y/N) |
