African Ministers Charter, Inc.

Printable Donation Form - Print this form and mail or fax to us.

You may donate by sending a check or money order for any amount ($1.00 or more) to:

African Ministers Charter
P O Box 2812
Atlanta, GA 30301

Fax your credit card donation with your Card Type, Name, Number and Expiration Date to 770-745-5522

I wish to contribute to the African Ministers Charter, U.S. $:

$1,000   $500    $250   $100    $75     $50    $25   Other____

FROM:

Name:_________________________________________________________________

Address:_______________________________________________________________

Address:_______________________________________________________________

City:___________________________________________________________________

State/Province:__________________________________________________________

Country:_______________________________________________________________

Check here if you wish your contribution to remain anonymous in any honoring of contributors that we may do.

Payment Info:

Credit Card: _____Visa _____Master Card ____ American Express

Credit Card Number: ___________________________________________________

Expiration Date:__________________________

Signature:______________________________________________________________

Optional Information:

Phone:__________________________

Fax:_____________________________

E-Mail:___________________________

Any Comments that you may wish to add: why you are contributing, etc.: