Donate To Our Ministry!

Make A Donation!

A simple way to encourage regular contributions and donations is to offer the ability to have a monthly commitment, using a credit card or a bank credit card... this form will help your congregation give at their convenience.

Contribute to Our Ministry!

NOTE: The following form is a SAMPLE form - it can be activated, but it must be used with a service (Free, with no fees until charges are made!) or your own Merchant Account and either a Payment Gateway such as Authorize,net OR a SECURE website. Please contact us with your questions about setting up this form!

*First Name:
*Last Name:
*Address:
Address line 2:
*City:
*State:
*Zip:
Phone:
Fax:
Email:

*Please select a Monthly Donation Level:

Would you like to make an additional gift to our Ministry?
$

*Please select a payment method:

	VISA
	AMEX
	MasterCard


Your Credit Card Number:* (no dashes or spaces please)
Expiration Date (mm/yy):*
Name on Credit Card:*