Thank you and God bless you!
Name: __________________________________________________________ Address: _________________________________________________________ City: _________________________________________ State: ______________ Zip: _____________________ Phone: (________) ________________________ Email address: _____________________________________________________
MY DONATION AMOUNT: $21
$42
$84
$126
Other: $______
Credit card number: _______________________________________ Credit card expiration: Month Card type:
Year
Visa
American Express
MasterCard
Discover
Account Holder’s Signature REQUIRED Signature: _____________________________________ Date: _____________
Thank you and God bless you!
WEB229
America Needs Fatima P.O. Box 341 Hanover, PA 17331
America Needs Fatima is a special campaign of The Foundation for a Christian Civilization, Inc., a 501 (C)3 corporation. All contributions to ANF are tax-deductible.
MY DONATION AMOUNT: $21
$42
$84
$126
Other: $______
Credit card number: _______________________________________ Credit card expiration: Month Card type:
Year
Visa
American Express
MasterCard
Discover
Account Holder’s Signature REQUIRED Signature: _____________________________________ Date: _____________
Thank you and God bless you!
WEB229
America Needs Fatima P.O. Box 341 Hanover, PA 17331
America Needs Fatima is a special campaign of The Foundation for a Christian Civilization, Inc., a 501 (C)3 corporation. All contributions to ANF are tax-deductible.
