Heritage CD request form
Name
*
Street address
*
City, State, and Zip Code
Phone
*
In addition to my $15.00 donation I would like to donate.....
*
$
Yes I would like to sponsor a child
*
Please select how many months
1 month (Add $50.00)
2 months (Add $100.00)
3 months (Add $150.00)
4 months (Add $200.00)
5 months (Add $250.00)
6 months (Add $300.00)
7 months (Add $350.00)
8 months (Add $400.00)
9 months (Add $450.00)
10 months (Add $500.00)
11 months (Add $550.00)
12 months (Add $600.00)
Yes I would like to sponsor a Bible College Student
Please select how many months
1 month (Add $30.00)
2 months (Add $60.00)
3 months (Add $90.00)
4 months (Add $120.00)
5 months (Add $150.00)
6 months (Add $180.00)
7 months (Add $210.00)
8 months (Add $240.00)
9 months (Add $270.00)
10 months (Add $300.00)
11 months (Add $330.00)
12 months (Add $360.00)
Your Email Address
*
Please type
in the box to the right »
*
Base Price
$
Modifications
$
Total
$
Online Giving
Powered by Giving Base