WORLDCHANGERS Monthly Sponsorship Form

Name:
E-mail:
Contact Phone:
Address:
Address Continued:
City:
State:
Zip:
I will be a World Changer sponsor in the amount of
$ each month from October 2009 - September 2010
I would like to have my Monthly contributions debited on the 20th of each month.

I am interested in the Summer 2010 "Got Dirt? Let's Build" Mission Trip.

I will pray for our missionaries and initiatives around the world each day.