Give by Check — Campus Outreach Lynchburg

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

Staff Person

Frequency

Pledge Amount

Enter the number you plan to give per gift. For example, if you are making a pledge of $50/month please enter $50.00.

We encourage all monthly donors to consider giving via Electronic Funds Transfer (EFT). Checking this box will not sign you up, but will simply indicate that you want more info.

I would like to receive information on electronic giving.