----Printable Form For Mail and Fax----
Christ Unlimited Ministries Donation
Form
P.O. Box 850 -
Dewey, AZ 86327
928-632-8005
Please Print Legibly
Date: ____________________
Name: ______________________________________________________________________________________________________________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________________________________________________________________________________________________________
City: _______________________________________________________________________________________________State: ______________________________________________________________Zip:__________________________________
Telephone: _________________________________________________ E-mail
Address (Print)____________________________________________________________________________________________________________________________
Amount of Donation__________________
Check: Mail Order____ Phone Order____ FAX Order_____
Method of Payment:
VISA ___MasterCard ___American Express ___ Security Number______________________________________
Credit Card Number: ___________________________________________________________________________
Credit Card Expiration Date: ____________________________________________________________________
Signature (if printing form to mail or fax): __________________________________________________________
Monthly Donation of ____________ (We will
automatically process this amount the 1st of each month
with the above credit card.)
_____Check or money order (if mailing order with printed order form) Payable to:
Christ Unlimited Ministries
* Check Here _______
I am requesting the monthly gift offer
(if offered) Offer No._______________________
* * Check Here_______ I am requesting the art print gift, "A Firm Foundation" ($50.00 suggested offering or more).
Check Here _______I do not want a gift, however I am sending an offering to help in your work.
* Due to IRS regulations, the fair market value of any offer will be deducted from your contribution. Only 1 gift per offering available.
** Due to IRS regulations, the fair market
value of the art print in the amount of $25.00 will be deducted from your
contribution. (We reduced the price of the art print from its original
value of $75.00 to the special sale price of $25.00.) Only 1 gift per offering
available.
Your
receipt and gift will be shipped out right away.
Thank you and may God bless you
back in the form of your need!
Our prayer for you is Philippians 4:19: "But
my God shall supply all your need according to his riches in glory by Christ
Jesus."