Please print out, complete, and mail this form with your check or money order to:

United Methodist Foundation
Lynn James
P.O. Box 10955,
Raleigh, N.C. 27605

Thank you for your support!

Name _________________________________________________________________

Street ________________________________________________________________

City ___________________________________ State _____ Zip ________________

Telephone ______________________

E-mail _________________________________
          (must have if electing to receive Donor E-Mail)

Amount Donated ________________________________________________________

Please check here if:

_____ You prefer not to be listed publicly as a United Methodist Found ation Supporter
_____ You prefer not to receive the bi-monthly Donor E-Mail