SUPPORT FOR PDM
I am joyfully sowing this financial seed into the good soil of Prophetic Destiny Ministry. I am a partner with Bill & Esther reaching the lost, healing the sick, teaching the truth and building up the Body of Christ. It is an honor for me to support this ministry and I look with excitement for the abundant harvest that will come from this good seed.
Please place an "X" next to your desired level of support
[ ] My monthly gift is $____________ for ______ months
[ ] This is a one time gift of $ ____________
Please indicate your method of payment below by placing an "X" in the box.
[ ] Personal Check: # __________ Amount: $_____________
[ ] Money Order: Amount $_______________
[ ] Automatic Monthly Gift: Amount $ _____________ # Of Months: __________
Automatic Gift
If you would like, we can automatically receive your donation from your checking or savings account each month. Simply fill in the the information below, circle either checking or savings, tell us what day of the month you would like this to occur and sign on the line provided. Send us a cancelled check with the words "automatic payment" written across it. For your convenience we will deduct the amount you specify for the number of months you indicate. No monthly checks will need to be sent from that point on.
Permission For Automatic Payment
I authorize Prophetic Destiny Ministry to receive $______________ from my checking / savings account # ______________________________
on the _____________ day of each month for __________ months. My bank name, address and phone number is: (use the line below)
_____________________________________________________________________________________________________________________
The canceled check I have provided is to be used by Citizens Bank of Johnstown, NY to establish this transaction for the length of time I have
specified. The first withdrawal is to occur on (month) ___________________ (date) _______ (year) ________. Only the amount specified is
authorized to be withdrawn from my account by Prophetic Destiny Ministry.
Please Print The Following Information:
Your Name: ____________________________________________________ Your email address ______________________________________
Your Mailing Address: Your Bank Information:
Street: _________________________________________ PO Box:___________ Name _____________________________ Ph # ___________
City: ______________________________ State: ________ Zip Code:________ Address:___________________________________________
Your Signature: _____________________________________________________ Today's Date: ____________________________________
Mail This Form Along With Your Check Or Money Order To:
Prophetic Destiny Ministry
PO Box 899
Johnstown, NY 12095