Donation Form

To make a donation to

623,1

rlle .Mrssron Docrefy CmkedCreekRoad

Norcross, GA 3fi)92
800.478.8963

the Mission Society by mail. please complete the form below. After firlfrlling the form, nail the form to the Mission Society to be processed. Iacluded are options for credit card gifts, eleclronic funds transfer gifts, and mailing a cherk. ltank you foryour support ofThe Mission Society.

Title

First Name

Middle Initinl

Last Name

Addrqs

Phone

Sute

Postal

C.aile

C.ouna'g

E-mail

Amount of Gift (usD)

Gift specifred for:

E
plea.se

Missionary Support Ministries

serui&, m their accottnt code.

EI Special Project

El Missionary

If ilonatingto a Spuial Proiqt, li* the amunt code.

If denatingto a spificmissionarypleaselisttheirname and auntrg of

Dean and Stephanie Babcock, Malawi,

Acct #3054

Is this a one,time gift ora monthly donation?

E one-time
In

EMonthly
Crtrs.

most ca.s, one-time

are gnaces*d an the dag the Sift uas receioed.

Which daywould youlike foryour EFT donationto be pmcessed? Whidr day would you like for your credit card donation to be processed? Which month would you like to begin your monthly donations? I herebyauthorizelhe Mission Society to automatically deduct from my credit card or checking accormt (EFT) on the Sti, 15th, or 25th of each month. I understand that I may terminate or drange this agreement at any time by providing wriften notification to lhe Mission Society.

E stu E sttr

E lsth

Ezstrr EIzstu

Sign here

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I will mail a check to firlfrIl the pledge made through this form.

Bank l\lane

ABA'or Routing Nrmber

Checking Accormt Number

Contributions are solicited with the urderstanding ttrat the donee org,aaization has complete discretion and coatrol over the use of all donated funds. The Mission Society is a 501(c)3 ministry funded entirely \r gifts from individuals and local coagregatiors" All gifts are tax deductible aad are gratefully acknowledged.