Walker Donation Form

Walker Infomation:

Name:_______________________________________________________________________________
Address:_________________________________City:________________State:_______Zip__________
Phone:_____________________Email:_____________________________________________________

Donor's Name Address Donation Amount Check / Cash
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
Total Amount$______________
Checks made payable to: First Assembly of God (for: WFTW).
Return form and funds in an envelope the day of the event or to First Assembly of God, Pleasant Grove.