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Mission Partner Sign-Up

Use this form to contact us about being a Mission Partner. If you choose to make monthly gifts, we will send you coupons to send with your monthly gift.

If you choose to make an annual gift, fill out the form, so that we can add you to our Partner list. Then, annual gifts can be sent immediately to:

Please indicate with your check that this is a Mission Partner gift.

Name

Address

Address 2

City

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Columbia (District of) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Email

Day Phone

Evening Phone

Cell Phone

Preferred Giving Method
Click the button that best describes how you would like to support WV Volunteers In Mission

$10 Monthly Gift$120 Annual GiftOther

If Other
If you checked "Other" in the preferred giving method, please indicate how you would like to give, and how much. For example, you could write in $25, monthly; or $75, yearly.

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Thank you for your support of WV Volunteers In Mission