Victorious Revival Fire Ministries

2 Choose A Monthly Giving Option (Check One)

   Chequing Account

I hereby authorize Victorious Revival Fire Christian Ministries (VRFCM)  to initiate debit entries to (withdrawals from) my account at the financial institution name below, for

my monthly seed offering  $ ______________

 

Name of financial institution:

___________________________

 

My account number:

___________________________

 

I would like my monthly seed offering to be withdrawn on

The -1st  -10th  -15th  -30th of each month

Starting_______/ ________(mm/yyyy).

  I am enclosing a voided cheque (required).

 

  Credit Card

I hereby authorize Victorious Revival Fire Christian Ministries (VRFCM)

to my credit card name below, for my monthly Pledge of $ __________

Please select:

-Visa     -MasterCard     -American Express

 

I would like my monthly seed pledge charged on the

The -1st  -10th  -15th  -30th of each month

Starting_______/ ________(mm/yyyy).

 

Name:

____________________________________ 

                                              (Print as it appears on card)

 

Credit Card  NUMBER:

_______________________________________

 

 

Expired Date ________/________(mm/yyyy)