Partnership Form

Singles Pleasing The Lord Partnership Form

Name:
Address:
City:
State Zip
Daytime Tel #:(ex. 000-000-0000)
Evening Tel #:(ex. 000-000-0000)
E-Mail Address:
Monthly Commitment Other:

I agree to donate the amount checked above to the ministry of Singles Pleasing The Lord for a minimum of:

6 Months 12 Months Other # of Months: Indefinitely

I would you like to receive full tax credit for my donation OR I would like the "CD of the month” for my gift of $25 or more:

Gift No Gift

Digital Signature
(Your Initials)

Date:

Singles Pleasing The Lord has a 501 (c) (3) classification from the Internal Revenue Service. Therefore donations are tax deductible.

Auto Credit Card / Debit Card Account Information
Credit Card #:
Expiration Date:

3 Digit CVV Code (located on signature line) :

Draw Date: 15th Last Day of the Month

Auto Checking Withdrawal Account Information

Checking Account #:
Bank Routing #:
Draw Date: 15th Last Day of the Month

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