If you wish to make a Monthly Reoccurring Gift, please use our Reoccurring Gift Form: Monthly Gift Form One-Time Gift Please fill out all required fields. Direct to Colleague Account--Select a Colleague--Brittany SpearGabe & Fran MartinezRyan PruettBeba SchlottmannMatt SchlottmannTaylor HaffOther DescriptionColleague Amount Other Amount General Ministry Total $0.00 Email* Your email will be used only to send you an email receipt of your donation.Name First Last Leave blank if you wish for your gift to be anonymous.Would you like to provide your mailing address?YesNoMailing Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code All gifts are tax deductible. If you wish for a year-end receipt letter to be mailed at the end of the year, please ensure you leave an address. Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name
