Choose the FCA Ministry you want to support:
In support of
FCA Org
:
10324000
(change)
Ministry Address:
Mark Stephens
9065 Clendenin Way
Frederick
,
MD
21704
Your Contact Information
First Name:
Last Name:
Address:
City:
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Zip:
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Your Monthly Gift
Gift Amount:
$
Method of Transfer:
Checking Account
Credit Card
Method of Transfer:
Checking Account
(1)
Name On Check:
(2)
Bank Routing Number:
(3)
Bank Account Number:
Special Instructions: (Optional)
I authorize Fellowship of Christian Athletes to transfer from my checking account or charge to my credit card account, on the 20th day of each month, the amount I have shown above. I agree to notify FCA by mail, fax, or E-Mail to change or cancel this agreement.
Please check to agree
Method of Transfer:
Credit Card
Credit Card:
MasterCard
Visa
Discover
American Express
Name On Card:
Account Number:
Expire Date (MM/YY):
Security Code:
Special Instructions: (Optional)
I authorize Fellowship of Christian Athletes to transfer from my checking account or charge to my credit card account, on the 20th day of each month, the amount I have shown above. I agree to notify FCA by mail, fax, or E-Mail to change or cancel this agreement.
Please check to agree