Interior Coverings Ministry
Secure Online Form
Donations Form
* = Required Fields

First Name: *
Last Name: *
Address:
City:
State/Region:
Zip/Postal Code:
Country:
Email:
Phone Number: e.g. (xxx) xxx-xxxx
Your Donation
General Funding: $
Bible & Foreign Missions: $
Local & Outreach Missions: $
Other:
$
TOTAL:
$
Card Number: * up to 16 digits (no spaces)
Expiration Date: (MMYY) *
Enter only 4 digits: MM/YY
CCV Security Code *
Visa/MC: Last 3 digits on back, AMEX: 4 digit code on front
This secure donation will be processed with AuthorizeNet.
Interior Coverings Ministry is a non-profit organization recognized by the IRS under code 501(c)(3). A tax-receipt will gladly be sent upon request.
Name on Card: *