Helping Hands Ministry

Please Print, Complete, and Mail this form to us at the address shown below.

r I commit to give $______________ each month for the next 12 months.

r I would like to give a one time gift in the amount of $______________.

Name _______________________________________ Phone Number ______________

Address ________________________________________________________________

City __________________________ State __________ Zip Code __________________

r Check here if you would like to receive periodic news updates about the ministry

        through email. (We will not share, sell, or abuse your email address.)

        Email Address ________________________________________

Please Choose Donation Method:

r  Check or money order: Please mail your tax deductible gift to the address below.

      If you decide to sign up as a monthly giver, as a convenience, we will send you twelve

      self-addressed postage-paid envelopes.

r  Credit or Debit Card:

    r I authorize Helping Hands Ministry to charge $_______ each month to the card listed

           below.

 r I authorize Helping Hands Ministry to charge $_______ once to the card listed below.

               r     r

Card Number ____________________________ Expiration Date (month/year) ___________

Signature ______________________________________

Mail To:

Helping Hands Ministry

PO Box 1307

Russellville, AL 35653