Support Form

March 2, 2009

Support form for Paul & Lori

All information is optional, but we need a name and address if you wish to receive a year end donation confirmation for your taxes.

Name: _________________________________________

Address: ________________________________________

City: ____________________ State: _________________

Zip/Postal Code: ___________ Country: _______________

Amount enclosed: $ _______
One time gift ___ Recurring gift ___

E-mail address _____________________________________

__ Check here to receive confirmation by e-mail.
__ Check here if you do not want a donation confirmation – no mail will be sent.

Comments or Prayer Requests:

mail to:
c/o The Marriage Bed, Inc.
PO Box 2166
Deer Park, WA 99006-2166

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