DONATION FORM
I want to support the Meinrad Craighead Documentary Project
of the Resource Center for Women and Ministry in the South.
Name: _____________________________________________________
Address: ___________________________________________________
City/State/Zip: ______________________________________________
Phone Number: ______________________________________________
Email Address : ______________________________________________
__ I am making a tax-deductible contribution in the amount of:
__ $10,000 __ $5,000 __ $1,000 __ $500 __ $100 __ $50 __ other
__ I have donated $500.00 or more and would like to receive a copy of Crow Mother &
the Dog God.
__ I have donated $50.00 or more and would like to receive a 10-minute preview DVD.
__ I would like to purchase ___ boxes of Meinrad notecards ($15 per box for 10 cards.)
__ My check made payable to RCWMS is enclosed.
__ Please charge my VISA or MasterCard.
Card number _________________________________________________
Exp. date: ____________ Signature ______________________________
__ I would like to contribute frequent flier miles. Please contact me.
Mail to: RCWMS, 1202 Watts Street, Durham, North Carolina 27701 |
