LSO

 
Assemblies of God World Missions

MISSIONARY ASSOCIATE

PLEDGE FORM

Make checks payable and mail to:                                              Date________________________

General Council of the Assemblies of God (AGWM)                (   )  New Monthly Pledge

1445 Boonville Ave.                                                                       (   )  Renewed Monthly Pledge

Springfield, MO  65802-1894                                                        (   )  One time only $___________

                                                                                                      Total enclosed $______________

 

As the Lord enables, I/we the undersigned promise to financially support

 . . . . . . . . . . . . . . . John and Leigh Pitterle . . . . . . . . . . . . . . . . account #  . . . . . . . 292883 . . . . . . .

while in   . . . . . . . . . . . . . . . . Madagascar . . . . . . . . . . . . . . . .  for $_________________________

                                                                                                                           (Monthly Amount)

Donor_____________________________________________ Donor a/c #__________________

Address________________________________________________________________________

(    )

 
City_______________________________________________ State ____ ZIP________________

Daytime telephone # _________________________________

Church to credit_____________________________________ Account #____________________

City/State__________________________________________

PFL/MA 4/00                                                  (Deposit in 001-41-600-4001-000-a/c#)

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