YES, I WANT TO HELP!

I am enclosing a gift to help this great work continue.

(please print out this form and mail to the address indicated)

First Name:______________________________________________________________________________

Last Name:______________________________________________________________________________

Phone number:___________________________________________________________________________

Email Address:___________________________________________________________________________

Mailing Address:__________________________________________________________________________

City:____________________________________________________________________________________

State:___________________________________________________________________________________

Zip code:________________________________________________________________________________

Country:_________________________________________________________________________________

Enclosed is my gift of   [  ] $10  [  ] $20  [  ] $50  [  ] $100  [  ] Other:_____________

All gifts are tax deductible

(To give by credit or debit card)

Check One: [  ] Visa  [  ] Mastercard

Card#________________________________________ EXP____/____
                                                                                                Mo/Yr   

Billing Zip Code_____________ AMT. Of Donation: __________________

For More Information About Contributions, Please call the
church office: 410-987-4714, ask for the financial office.

Make checks payable to:

Church on the Rock

Mail to: 649 Old Mill Road
Millersville, MD 21108 USA

Thank you for your special gift to this ministry, may the Lord richly bless you for your kindness!