BWA Women’s Department

YES! I want to invest in this ministry!

Amount of Donation: One time donation $ ____________________ Monthly donation: $______________________

Day of Prayer Offerings __ Operating Expenses __ Officers’ Travel __

Day of Prayer printing/mailing __ Where needed most __ Scholarships for Rio Conference __

Memorial __ In Honor __ Young Women’s Consultations __

If this is a gift in honor of someone or a memorial donation provide the name and address of the person
being honored or where a donation acknowledgement should be sent.
Name:
Address:

Payment Information:

Checks or Money Orders (US or Canadian currency only): payable to BWA Women’s Department

Credit Card:

______ Visa _____ MasterCard

Name on Card __________________________________

Card Number ___________________________________

Expiration Date: ________ /__________ VCODE _______

(MM/YY) (3 digit code on back of card near the signature line)

Signature_____________________________________________________________ Date: ______________________

Donor Information: (Your information will not be shared)

Name: __________________________________________________________________________________________
Street or P.O. Address: ___________________________________________________________________________
City: ________________________________ State/Province: _______________ Postal/Zip code: ______________
Phone: ____________________________ Email: _______________________________________________
(for sending an electronic receipt)

 Please send this form with your donation

 A receipt will be provided after receiving your donation.
 We are a 501(c)3 charitable organization.
Thank you for your donation!

405 N. Washington Street

Falls Church, VA 22046 USA
Phone: +1-703-790-8980 ext 16 or 403-632-5022
Fax: +1-703-893-5160 Mark it clearly for BWA Women
Email: womenbwa@bwawd.org
Web: www.bwawd.org