WORD OF LIFETM FELLOWSHIP CANADA INC. R.R.

8 OWEN SOUND, ONTARIO, N4K 5W4

I / We want to help support the ministry of the Word of Life Bible Institute. I / we will commit to regular prayer support. I / we will commit to monthly financial support in the amount of: ___ $100 ___ $75 ___ $50 ___ $25 Other $________ Start date: _________________________ One time gift of $___________

15P0 Please debit my bank account on the 16th of every month. I am attaching a void cheque with the necessary information. OR Please charge my Visa or Mastercard each month on the ____ of the month. Card number and expiry date: ___________________________ exp ____

All contributions are receiptable for income tax purposes. Canadian donors receive a Canadian receipt while contributions from U.S. residents are receipted from our U.S. office. Canadian charitable registration number 119304194RR0001. Name: _______________________________________

Address: _______________________________________ _______________________________________ _______________________________________ _______________________________________ Phone: _______________________________________ All contributions designated towards a specific program or individual will be used as designated with the understanding that when that program or individual is fully funded or completed, or cannot be completed the remaining funds will be used where needed most within Word of Life Fellowship Canada Inc. A Ministry of Word of LifeTM Fellowship Canada Inc.