Name: *

First Name

Last Name

Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone: *

(###)

###

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I commit to giving $100 more each month.

I can't quite give $100, but I can give ____ more each month.

I want to give even more. I will give ____ more each month.

I'd like to give more of my time to a ministry.

Please select all that apply.

Hospitality

Youth

Children's Ministry

Deacon/Elder

Homeless Ministry