Name: 
____________________________________________________
Address: ____________________________________________________
Address: ____________________________________________________
Email: _____________________________
Phone: ________________
Enclosed is my gift of $ ___________ to be used:
Where
most needed
Northern
Iraq ministry & schools
Central
Asia ministry
Refugee
Outreach
For
SGI missionary (name) _______________________________
Other
________________________________________________
I
want to set-up a recurring donation via Automatic Bank Draft.
Designation: ______________________________________ (see above)
Amount: $ ___________________
Beginning month ___________, year _______.
(please attach a voided check)
Name on Account ____________________________________________
Signature: ___________________________ Date: __________________
I understand this agreement will remain in effect until I notify Servant Group International that I wish to increase, decrease, or cease the agreement, which I may do at any time. I understand I will not receive a monthly receipt, but will receive an annual giving statement each January.
(Please make all contributions payable to "SGI." All contributions are solicited with the understanding that Servant Group International has complete discretion and control over the use of all donated funds.)
Please
mail completed form to:
Servant
Group International
506 Tanksley Avenue
Nashville, TN 37211
www.servantgroup.org