POSTAL MAIL DONATION FORM
(print this form using your browser print button and mail to the address
below)

Yes, I would like to become a Marketplace Donor. Please add me to the Donor's
mailing list.

Name: ________________________________________________

Email: ___________________________ Phone: _______________

Address:  ______________________________________________

City:   ____________________  State: ______  Zip: _____________

My pledge:
Monthly Commitment: $ _______  A One-Time Gift: $ ________

Signature: ______________________________________________

I would like to charge my contribution

MC / Visa - Number_______________________________________
(Circle one)         Credit Card must be in the Donor's name

Exp. Date (mm/yy):____/____


I'm enclosing a check to:

Living Waters Ministries
P. O. Box 4134
St. Augustine, Fl. 32085
Paper Donation