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.