Bethesda Healing Ministry

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PLEDGE CARD

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Thank you for your generous support!

I / We hereby give:

$100	$250	$500
$1000	Other Amount:
Payment Method:	Check Enclosed
	Charge Card - Please fill out the credit charge below.

I / We make a One-time Pledge of to be paid within 30 days.

I / We make a Monthly Pledge of or other amount of for 12 months.

I would like more information about Bethesda.

Please contact me about becoming a volunteer.

Charge Card Information:

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Card Number
Expiration Date
3 Digit Code	Code on back of the charge card.
Your Name	As it appears on the card.
Signature	________________________________________
Signature Date	_____________

Contact Information:

NAME:
CHURCH NAME
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
E-MAIL ADDRESS:
HOME PHONE:
CELL PHONE:
WORK PHONE:
HOW SHOULD WE CONTACT YOU? HOME HONE CELL PHONE WORK PHONE E-MAIL
BEST TIME TO CALL:
COMMENTS:
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Bethesda Healing Ministry
P.O. Box 203
Dublin, OH 43017
www.bethesdahealing.org

Contact us at: (614) 718-0277
[email protected]