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Yes, I want to partner with Jack Myers Ministries, Inc.. I would like to make a partnership commitment (in US Dollars) of:

____ ($10.00 per month)

____ ($20.00 per month)

____ ($25.00 per month)

____ ($35.00 per month)

____ ($50.00 per month)

____ ($75.00 per month)

____ ($100.00 per month)

____ ($250.00 per month)

____ ($500.00 per month)

_______________ (Other $ per month)

Please Print Clearly Name: __________________________________________________
Mailing Address: _________________________________________________

City:___________________ State/Providence: ______________ Country: _________

Zip/Postal Code: ________ Email Address: __________________________________

Please Print this form and mail it with your first month's donation to:

Jack Myers Ministries, Inc.
3753 - 214th St. Matteson, IL 60443 USA

Jack Myers Ministries is a 501-C Non-Profit Corporation for donations made from within the United States. The receipt is usable on the Itemized Deductions Page of your US Federal and State Income Taxes. If you have a mailing address within the United States, we will automatically send you a tax receipt for your donation. If you need a tax receipt and do not have a US address, please indicate that you would like to receive a receipt.