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--Gabe & Fran MartinezBeba SchlottmannDallas HoogeveenBaker DavisOther 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 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name
