Pledge

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First name

(If middle initial is on card please enter before last name)
Last name
Cardholders Billing Address
Billing State/Province

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Billing Zip/Postal Code
Country

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Cardholders Email

Confirm Email
Cardholders phone
Type of Card
Card number

xxxx-xxxx-xxxx-xxxx
Card expiration (mm/yy)
Security Code

(small 3 digit code on back of your card)
Amount per month:

$30.00

$50.00

$75.00

$100.00

$250.00

$500.00

$750.00

$1000.00
Other amount
$ Dollars . Cents
I would like my recurring pledge to be withdrawn on: *

1st of each month

15th of each month
Please confirm final amount of your pledge here: *
$ Dollars . Cents

Give monthly pledge via PayPal:

Make check or money order payable to:

"CMM"

(Please write "Kingdom Dwellers" in memo line)

PO Box 7705

Charlotte, NC 28241

(Note: CMM is MorningStar Missions which

Kingdom Dwellers is tax-deductible through)

Give monthly pledge by mail:

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