Name: 

Organization:

Address:

City:

State/Province:

Zip/Postal Code:

Work Phone:

Home Phone: 

E-Mail:

I am interested in becoming a Covenant Child Supporter.

Please select one of the following options:
$25 per month
$50 per month
$100 per month
Another Monthly Amount:
One Time Gift Amount:

I would like to give a Memorial or Honorarium Gift in the Memory of:

Questions/Comments:

I want to volunteer to use my time and talent as a Covenant Child Supporter.

Please choose:
Art and Design
Board Members
Computer Skills
Consultant Services (Architects, Engineers, Accountants, Legal)
Construction
Fund Raising
Office and Phones
Public Relations
Special Events and Program Planning
Site Work and Maintenance
 

I would like to be contacted.

I would like to be a Covenant Prayer Partner.

Add me to your E-Mail List.

Please click "Submit" when you have completed the form.