POSTAL DONATION FORM

• SELECT YOUR PREFERRED CURRENCY
• PRINT THIS PAGE
• FILL IT OUT
• POST IT TO YOUR PREFERRED MERF BRANCH (LISTED BELOW)

My gift will be in: Select currency USD American $ CAD Canadian $ AUD Australian $ NZD NewZealand $ GBP British Pounds IEP Irish Punt XEU Euro $ CHF Swiss Francs JPY Japanese Yen SGD Singapore ZAR Sth Afr. Rand SEK Swedish KR OTHER ___________

NAME _______________________EMAIL_____________________

ADDRESS ______________________________________________

POST CODE _________________ COUNTRY __________________

CHURCH _______________________________________________

PHONE ______________________ FAX _____________________

[____] Where most needed [____] Training Converts [____] Arabic Literature [____] Radio Evangelism [____] Training Leaders [____] Church Planting

[____] National Evangelism [____] Relief Aid [____] Study Centre [____] Field Workers [____] Other: ___________________

[_] I enclosed cheque/money order for _________

[_] Please deduct _________ from my

[_] Visa [_] Mastercard [_] Bankcard

(Processing of credit card contributions is only available from the USA and Australia at this time.)

 

CARD No: |__|__|__|__|-|__|__|__|__|-|__|__|__|__|-|__|__|__|__|

Expiry date: __/__ Todays Date: __/ __/___

Signature : X_________________________

For ongoing support commitment:

[_] Please deduct _________ from my credit card each month until further notice.

Date:__/ __/___ Signed ___________________

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MERF WORLDWIDE POSTAL DIRECTORY

MERF Australia PO Box 1767, Green Valley NSW 2168, Australia

MERF Netherlands CSM-Meppel, PO Box 285, 7940 AG MEPPEL, The Netherlands

MERF New Zealand PO. box 39275 Howick New Zealand

MERF USA PO Box 1904, Holland MI USA 49422-1904