My Information

My First Name:
My Last Name:
My Church:
My Jurisdiction:
My Address:
My City:
My State:
My Postal Code:
My E-Mail:

My Support

I'm Standing,
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    Other: $ 

 

My Support: I authorize the Church of God in Christ to transact the amount indicated from the credit/debit account provided.

My Credit Card Type:
My Credit Card Card Number: CCV:
My Credit Card Expiration Date:
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