His Covenant Ministries Donation FormPlease print and mail this form with your donation made out to "His Covenant Ministries" and post via 9393 N. 90th Street. #102 pmb 258, Scottsdale, Arizona [ 85258 ]
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| In appreciation for my donation I am requesting the following: | Amount |
| ITEC Free Electricity Registration (minimum
donation of $ 10.00) Will be withdrawn without notice (once 1.6 M witnesses is achieved it's over) |
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| Other, please specify: | |
| In the name of YHWH for His purposes | |
| Total Donation | $ |
If a FE registration the following information is also necessary:
Name: _____________________________________ Phone (________)______________________
Location: _____________________________________________________ Suite # ____________
City: ____________________________________ State: ________________ Zip: ______________
Email ___________________________________________________________________________
If different from above, or as a gift, the following information is also necessary:
Name: _____________________________________ Phone (________)______________________
Location: _____________________________________________________ Suite # ____________
City: ____________________________________ State: ________________ Zip: ______________
Email ___________________________________________________________________________