Print this page and mail along with your check made out to Disaster Relief Effort, Inc or credit/card information to:
Churches of Christ Disaster Relief Effort, Inc.
410 Allied Drive
Nashville, TN 37211
GIVING WITH CHECK
Enclosed is my check for $ _______
GIVING WITH CREDIT/CARD
I would like to give a one-time gift of $_____
I would like to support Disaster Relief on an ongoing basis. Please debit my account $_____ each month.
Card information
___Visa ____Mastercard ____American Express ___Discover
Name on card ____________________
Card number ______________________
Expiration date __________
Billing address & zip code _______________
___________________________________________
Phone number________________________
Cardholder signature ________________________
IN MEMORY or IN LIVING HONOR
I wish to give $______ in memory of _____________________,
City ________________, State _____
I wish to give $______ as a living honor for _____________________,
City ________________, State _____
Please send acknowledgment card to:
Name _______________________
Address __________________________
City _________________ State _____ Zip __________
Donated by: _______________________
Address __________________________
City _________________ State _____ Zip __________
(The amount of the memorial and/or living honor donation is not listed on the card.)