The Friends of Israel Gospel Ministry, Inc.
PO Box 908
Bellmawr NJ  08099

Please print:

PERSONAL INFORMATION

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Name

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Address

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City State Zip

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Country

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Phone

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E-mail


CONTRIBUTION INFORMATION

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Contribution amount

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Gift Designation


CREDIT CARD INFORMATION (if applicable)

__ - Visa __ - Mastercard __ - Discover

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Credit Card Number Expiration Date

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Cardholder's Name

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Cardholder's Signature (required for credit card use)