Reach Out With Us
CONTACT INFORMATION
Items marked bold are required fields.
First Name:
Last Name:
Please enter address, city, state and postal code as filed with your financial institution.
Address:
City:
State/Province:
Other State/Province:
Zip/Postal Code:
Country:
Email:
Phone:
GENERAL INFORMATION
Congregation or Church Affiliation?
How Did You Hear About Us?
GIFT INFORMATION
Fund:
Donation Amount: $ (US DOLLARS)
Donation Frequency:
The donation amount will automatically charge (at the frequency you selected) to the account specified below. You can adjust or stop the automatic donation anytime by calling our home office.
PAYMENT INFORMATION
CREDIT CARD
Card Type:
Card Number:
CVV2: Click here for CVV2 information.
Expiration Date: mm/yyyy
VIRTUAL
CHECK/SAVINGS

(The following information is
required only for Virtual Check
or Virtual Savings donations.)
Account Type: Checking Savings
Bank Routing Number:
Account Number:
COMMENTS
ECFA Member Seal