<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Printable Support Form

Annapolis College Ministry

Bringing Orthodox Christianity
to the College Students of Annapolis

I would like to help support this vital ministry and outreach to the college students of Annapolis and am pledging my monthly support in the amount of:
$100, $50, $25 other $ ______.

I am making an annual gift one-time gift in the amount of: $ _______.

I would like to receive quarterly updates by mail and/or by email to keep me informed of how God is working through this ministry.

My name, address, and email address: _____________________________________________________

_____________________________________________________

Tax-deductible contributions can be made out to “Annapolis College Ministry.” Please send the check to the following address: The Annapolis Pan-Orthodox College Ministry, 1010 Cape Splitt Harbour, Pasadena, MD 21122.

Credit Card Authorization

I authorize Annapolis College Ministry to bill my credit card for $______ every month on this day ____. I understand that I can call ACM anytime to discontinue this process or change the amount if I desire.

Name:__________________________ Address:_________________________

City:____________________________ State:_____ zip:_________

Phone:____________________________ Email:____________________________

Visa MasterCard

Card Number_____________________ Expiration Date_________ Security code_____

(The security code is the right three digets found on the back of your card in the signiture box)

Signature:_______________________________________