Pledge Form

Doug Berry
c/o Elders
West Fayetteville Church of Christ, P.O. Box 456, Fayetteville, TN 37334.

Contributor's Name: _____________________________ PLEDGE FORM

Address: _______________________ Phone: (___) _____________

State: ________ Zip: _________ Email: ______________________

I pledge the following amount:

___$25/mo ___$250/mo. ___Other: $_______

___$50/mo ___$500/mo

___$100/mo ___$1000/mo

PLEASE MAKE CHECKS PAYABLE TO: UKRAINE MISSION, and send to address listed above.