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=+1> Donation Form -- Thanks for Supporting

After filling out ALL fields below, Print and Mail to the address on the right

(Note: all applicable fields on this form must be filled in
to process your order) 

Business Name.:
(If a Business or Church Check)

First Name....:
Last Name.....: 
ZIP Code......:
Phone number..:
EMail address.:
Suggested Donation Amounts:
Taking the size of the church into consideration, we are 
suggesting the following donation levels:

Church Membership  Suggested Donation* (Annual) 

Less Than 50  $10.00 to $15.00 
50 to 100        $15.00 to $20.00 
100 to 200      $20.00 to $30.00 
200 +              $40.00 to $50.00

You can simply donate
You may print this order form fill it in and mail it


Rev. Harry Cole
7302 S. 37th Dr.
Phoenix, AZ 85041
Phone (602) 305-9912

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Web Site Design by Shelton Cole