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 warriors).






mail to:
The Marriage Bed, Inc.
PO Box 233
Dallas, OR 97338-0233

This page can be found at http://www.themarriagebed.com/pages/donate/donation-form.shtml

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All Rights Reserved