Angels of Appalachia Partnership Form

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q    YES!  I’m ready to make a difference in the lives of people in Appalachia by becoming an Angel of Appalachia.

 

I’ve enclosed my first monthly partnership gift of:

 

q    $15   q    $20   q    $30

q    $40   q    $50   q    Other  $___________

 

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Name

 

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Address

 

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City                                             State               Zip

 

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Phone                                               Email

 

You will receive monthly reminders. CAP is a 501(c) 3 charity. Your gifts are tax deductible.

 

Please return this form with your first monthly gift to:

 

Christian Appalachian Project

DEVELOPMENT OFFICE

P.O. Box 511,  Lancaster, KY   40444-0511

4611-9

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q    I’d like to make my monthly gift by credit card:

 

q    American Express   q    VISA

q    MasterCard   q    Discover

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Card Number

 

 

 

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Expiration Date                                     Security Code*

 

 

 

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Cardholder’s Name

 

 

 

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Cardholder’s Signature  (Required)

 

 

Security Code*:  What is it?

When using your credit card, please include your security code.  It’s the 3 digit number printed on the signature panel on the back of your VISA, MasterCard, or Discover card.  On American Express cards, it’s a 4 digit number printed on the front of the card.