Donation Form

• = Required

Please provide your name and contact information, so that we may acknowledge your donation.

First Name

•

Last Name

•

Street Address

•

City

•

State

•

Zip

•

Phone Number

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Email Address

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Amount Donating
to the Mary Evans Childcare Center Fund

(USD) •

Is your donation in memory of, in honor of
or in celebration of an individual or family?

In Memory Of
In Honor Of
In Celebration Of

Name(s) of individual(s):

Would you like your donation to remain "Anonymous"?
(ie, Your donation would not be acknowledged in
the First Community Church newsletter.)

•

Yes
No

Comments or questions?

Make a one-time payment.