Specific Nations

Gifts

Nations (Specify nation in note)

Frequency

When

Notes

First Name

Last Name

Address

First Name on Card

Last Name on Card

Card Number

Expiration Date

Card Security Code

Enter a different billing address

Routing Number

Account Number

Account Type

Checking Savings

Make check payable to “M4 Europe”. In the memo line, please write any other designations needed (ex. Kenno, Ukraine, etc.).

Mail to:
Woodmen Valley Chapel
Finance Department
290 E Woodmen Rd
Colorado Springs, CO 80919