Name: 
____________________________________________________
Address: ____________________________________________________
Address: ____________________________________________________
Email: _____________________________
Phone: ________________
I was referred to www.csmedes.org by: __________________________
Enclosed is my gift of $ ___________ to be used:
where
most needed
new school building program
scholarship fund for families in need
I
will join the School Partnership Program (SPP) in support of CSM.
Please use my gift of $35/month to help underwrite the costs of teacher training, curriculum development, printing & shipping, school supplies, facilities and equipment.
As
part of the School Partnership Program
(SPP), I wish
to correspond one-on-one with an "adopted" CSM student. (This
is encouraged but not required. If you check "yes," then
a representative of SGI will contact you to help select a student.) I
will send my School
Partnership Program
(SPP) contributions
via Automatic Bank Draft.
Please
transfer $35.00 on the 20th of each month beginning with
the month of __________, year _______. (please
attach a voided check)
Name on Account ____________________________________________
Signature: ___________________________ Date: __________________
I understand this agreement will remain in effect until I notify Servant Group International that I wish to increase, decrease, or cease the agreement, which I may do at any time. I understand I will not receive a monthly receipt, but will receive an annual giving statement each January.
(Please make all contributions payable to "SGI." All contributions are solicited with the understanding that Servant Group International has complete discretion and control over the use of all donated funds.)
Please
mail completed form to:
Servant
Group International
506 Tanksley Avenue
Nashville, TN 37211
www.servantgroup.org