I would like to support Prison Fellowship Bermuda with a gift of $_____________.
_____ Cheque enclosed payable to Prison Fellowship Bermuda.
_____ Please bill my: _____Mastercard _____Visa _____American Express
Credit Card Number: _________________________________________
Expiration Date: ____________________________________________
Name on Card: ____________________________________________
Signature: _________________________________________________
_____ My employer will match my donation. The matching gift form is enclosed.
Please print the following information so we may correctly acknowledge your contribution.
Donor's Name: ________________________________________________
Address: _____________________________________________________
City: ________________________________________________________
Parish: ________________________ PostCode: ______________________
If outside Bermuda, please add
State/Province/County: ________________________
Zip or PostCode: ______________________
Country: _____________________________
Phone: ________________________________________________
E-mail: _______________________________________________________
Mail or bring your completed form to Prison Fellowship Bermuda, c/o The Office, 46 Par-la-Ville Road, Hamilton HM 11
_____ Cheque enclosed payable to Prison Fellowship Bermuda.
_____ Please bill my: _____Mastercard _____Visa _____American Express
Credit Card Number: _________________________________________
Expiration Date: ____________________________________________
Name on Card: ____________________________________________
Signature: _________________________________________________
_____ My employer will match my donation. The matching gift form is enclosed.
Please print the following information so we may correctly acknowledge your contribution.
Donor's Name: ________________________________________________
Address: _____________________________________________________
City: ________________________________________________________
Parish: ________________________ PostCode: ______________________
If outside Bermuda, please add
State/Province/County: ________________________
Zip or PostCode: ______________________
Country: _____________________________
Phone: ________________________________________________
E-mail: _______________________________________________________
Mail or bring your completed form to Prison Fellowship Bermuda, c/o The Office, 46 Par-la-Ville Road, Hamilton HM 11
