Singles Pleasing the Lord
Secure Online 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 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:
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