Donation Form - Lighthouse Mission Ministries printable pdf download

Donation Form - Lighthouse Mission Ministries

OFFLINE DONATION FORM

print and mail to:

Lighthouse Mission Ministries

PO Box 548

Bellingham, WA 98227

All donations are used to help local people in need. Thank you for your love and support.

We could not serve our community without your help and generosity.

1) Check here to make a one-time gift: ____

2) Or choose to make a recurring gift*: (Circle one)

a. Monthly

b. Bi-monthly

c. Quarterly

d. Annually

e. Bi-annually

3) Select the amount you wish to donate: (Circle one)

a. $25

b. $50

c. $75

d. $100

e. Other amount $______________

4) I would like my donation to support:

a. The Mission Men’s Shelter

b. Agape Home for Women & Children

c. The Drop-In Center

d. The Frank Haskell Lion’s Eye Clinic

e. New Life Program

f. Wherever it’s needed most

First Name: ______________________ Last Name: ___________________________

Street Address: ________________________________________________________

City/State/Zip Code: ____________________________________________________

Email Address: __________________________ Phone Number: ________________

Card Holder Name:_________________________ Card Type: ________________

Card Number: _____________________________

Exp. Date: ___\___

Signature: _________________________________

Date: __________

Donation Form - Lighthouse Mission Ministries