Check or credit card tax deductible forms-Print out and mail back with your donation

DATE Mr. Kurt Barnes, Treasurer The Domestic and Foreign Missionary Society of the Protestant Episcopal Church in the USA 815 Second Avenue New York, NY 10017-4594 Dear Mr. Barnes: I hereby give to the Domestic and Foreign Missionary Society of the Protestant Episcopal Church in the United States of America a gift in the amount of ____________. As a preference, though not as a condition of my gift, I suggest that it be used for the program or purpose designated as follows: Support of the Mission Personnel Program, Young Adult Services Program and Erika Almquist . (Name of missionary) ____________________________ Donor's name and address ____________________________ Signature and date Make checks payable to: DFMS or the Episcopal Church USA Mail to: Yanick Fourcand Mission Personnel The Episcopal Church Center 815 Second Ave. New York, NY 10017

Date _________________ Mr. Kurt Barnes, Treasurer The Domestic and Foreign Missionary Society of the Protestant Episcopal Church in the USA 815 Second Avenue New York, NY 10017-4594 Dear Mr. Barnes: I hereby give to the Domestic and Foreign Missionary Society of the Protestant Episcopal Church in the United States of America a gift of $_____________per month for the period of ______________ to ______________(or a one time donation of $___________) to be charged to my credit card. As a preference, though not as a condition of my gift, I suggest that it be used for the program or purpose designated as follows: Support of the Mission Personnel Program and/or Erika Almquist’s ministry. (name of missionary) Credit Card Type _______________________ Credit Card Number ___________________________ Expiration Date ______________________ Your signature __________________________ Date________________ Your Name __________________________________ Mailing/E-mail Address ________________________________ Telephone _______________________________________