Donations: Check, Visa, Mastercard or American Express
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Print this form, complete and mail with your donation to our main office:
2038 Red Cloud Rd, Longmont, CO 80504
If you are submitting credit card details please mail or call 720-935-0287
2038 Red Cloud Rd, Longmont, CO 80504
If you are submitting credit card details please mail or call 720-935-0287
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Name:
Address:
City/St/Zip:
Phone:
Amount: _____________ One Time? Y/N_______ Bill me Monthly? Y/N: ______
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Donation:
Credit Card #:
__________
Exp Date:
__________
Check
Enclosed Y/N
Enclosed Y/N
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Name on
Card:
Card:
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Email:
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Signature:
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Print Name:
(Name of Cardholder if different from above)
Christian Outreach & Emergency Shelters
A partnership ministry from Practical Christian Living Centers
and community churches
A partnership ministry from Practical Christian Living Centers
and community churches
| Blessed is he who considers the poor; The LORD will deliver him in time of trouble. Psalm 41:1 |
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