Donate Form

P31 Online Membership Gift Fund

Name:

Address:

City: State:

Zip Code:

Amount: $15 $30 $45 $60 Other:

Do you wish us to inform the scholarship recipient of your gift? Yes No

If yes, please provide your e-mail address:

PERSON TO RECEIVE SCHOLARSHIP:

Do you have someone in mind? Yes No

Recipient's Full Name:

Recipient's E-mail:

Print and send in with your check to: PROVERBS 31 MINISTRIES 616-G Matthews-Mint Hill Road Matthews, NC, 28105