Donations Form

 

MAIL TO:
Christians in Action
P.O. Box 728
Woodlake, California 93286-0728

 

Print out this form and send it completed with check,
money order or credit card payment to the above address.

 

NAME _________________________________________________________________

ADDRESS ______________________________________________________________

CITY _________________________________ STATE _________ZIP ______________

PHONE (DAY) _________________________ (EVENING) _______________________

Yes, I will partner with Christians in Action each month

Please check one of the following:

$10 monthly

$75 monthly

$500 monthly

$25 monthly

$100 monthly

One Time Gift of $______________

$50 monthly

$250 monthly

I will commit to prayer for your ministry

 

PAYMENT INFORMATION

My check or money order payable to Christians in Action is enclosed

Please charge $_________________ to my VISA MC DISCOVER

Credit Card is: personal church business

Card # |__|__|__|__| - |__|__|__|__| - |__|__|__|__| - |__|__|__|__|

Expiration Date |__|__| - |__|__|
 

Name as it appears on card _______________________________________________
 

Signature_____________________________________________________________