Gfeller Donation / Support Form

We are so thankful for the those who have chosen to partner with us in our ministry to the people of Berlin. The need in Berlin is great and your prayer and financial support will give us the opportunity to shine the light of the gospel in this dark place.

Please detach bottom section and return to Berlin Ministries International

Mail form to:Berlin Ministries InternationalPO Box 51214Piedmont, SC 29673

Contact us:(864) 325-5902lightshinebright.orgchad.gfeller@berlinministries.org

Please fill out the info:

We (I) would like to give a one-time donation in the amount of:

We (I) would like to pledge a monthly amount of:

$25.00 $50.00 $75.00 $100.00 $125.00 $150.00 $500.00 Other:

Our (my) preferred donation/support option is to:

Send a check to BMI (either a one-time donation, monthly, or annually) Allow for direct monthly withdrawal from my bank account to the Gfeller’s BMI account (please see below)

- Month to begin withdrawal: Year: Monthly Transfer Date: 5th OR 20th (circle one)

- Bank Name: Routing Number:

- Account Number: Your Phone Number:

- Withdrawal from: Checking or Savings (*Please include a voided check with this form*)

- Name (please print): Date:

- Name (for joint account): Date:

- Authorization Number: Date:

- Authorization Number (for joint account): Date

Note: All donations are tax deductible. A donor receipt will be sent to the address on your voided check.Payment can be discontinued at any time. If you have further questions you can call us at (864)-325-5902 or visit www.berlinministries.org for more info. Thank you!