JDK MINISTRIES, INC.
MINISTRY PARTNERS/DONATION FORM
To help financially support John David Kirby Ministries, Inc., please complete this form (online or by hand), print the form and mail it with your tax-deductible contribution to:

John David Kirby Ministries, Inc., 4690 Woodstock Road, St. James City, FL  33956

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Please check appropriate boxes  

¨ Individual    ¨ Family    ¨ Church    ¨ Non Profit    ¨ Business - Corporation    ¨ Other

I/we would like to help with a monthly ministry partner donation* of:

¨ $1,000.00      ¨ $500.00      ¨ $100.00      ¨ $50.00      ¨ $25.00      ¨ $Other _______

* ministry partners receive a teaching of the month and partner update with any size donation

¨      I/we would like to give a one-time donation of $ __________

¨      I/we would like to become a prayer partner in addition to becoming a ministry partner
¨      I/we am not in a position to become a full ministry and prayer partner at this time but would like to become a prayer partner

Please Note:  Fields below with an asterisk * are required fields

PARTNER INFORMATION
First Name: *
Last Name: *
Organization:
Telephone Number (with area code): *
E-mail address: *
Street address: *
City: *
Zip: *
State: *
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