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Name __________________________________________________
(as it appears on your credit/debit card)
Address _________________________________________________
________________________________________________________
City ______________________________
State ____ Zip __________
Phone (______) ______-___________
Amount you wish to donate to "Bicycle
India 2007" $________
If enclosing a check, make
it out to "King Trust Charitable Fund" with the
memo line: "Umri Christian
Hospital/Bicycle India 2007"
If using a credit or debit card,
please complete the following information:
Card type/name _______________
Card number ________________________________________
Card expiration date: month _______ year
_______
This tax deductible gift should
be mailed to:
King Trust Charitable Fund
P.O. Box 580
Spring Arbor, MI 49283
You will receive a donation receipt within
a week of your contribution. Donations are being facilitated
by
the Free Methodist Foundation of Spring Arbor, Michigan.
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