DONATION FORM FOR THE MARRIAGE BED, INC.


All information is optional, but we need a name and address if you wish to receive a year end donation confirmation for your taxes.

Name: ___________________________________________

Address: _________________________________________

City: __________________________ State: ____________

Zip/Postal Code: ________ Country: __________________


Amount enclosed: $ _______
One time gift ___ Recurring gift ___


E-mail address ___________________________________

__ Check here to receive confirmation by e-mail.
__ Check here if you do NOT want a donation confirmation - no mail will be sent.


Comments:





Prayer Request (to be sent to our marriage prayer team):






mail to:
The Marriage Bed, Inc.
PO Box 2166
Deer Park, WA  99006-2166