DONATION FORM

 

Please PRINT and SEND this form to:

CWOCM
PO Box 1153
Herndon, VA 20172

 

We are tax exempt

 *Name:
 *Street Address:
 *City:
 *State:
 *Zip Code:
 *Phone:
 *E-Mail Address:
 *I wish to contribute  $ 

(*) (Mandatory for verification and thanks purposes)
Check Enclosed (Payable to the Commissioned World Outreach Church Ministry), to submit by mail.

Please charge $ to my
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Name on Credit Card


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