Donor Information - Set Up Monthly Gifts

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First and Last Name
Company
Address
City
State/Prov
Zip/Postal
Phone Number
Email Address

Monthly Pledge Amount

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Payment Options for Monthly Gifts

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Desired date for Monthly Credit/Debit Card or EFT gifts? ..................... (Beginning next month for Credit/Debit Cards)

Final Questions

May we use your first name on the air?
May we ask your age group?
How long have you been listening?
Any Comments?

Donation Summary

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All donations to Faith Communications Corporation (a Nevada Non-Profit Corporation registered with the Secretary of State) are tax deductible.