Monthly Credit Card Donation Form

We are happy to offer this service and trust it will be a blessing and help to you. Simply print this form on your printer, fill it out and mail it to our Nazareth, PA office.  Remember, this monthly charge may be changed or cancelled at any time by letting us know in writing.  

Your Name:_____________________________________________________

Your Address: ___________________________________________________

City:__________________________   State:_________   Zip:______________

Home Phone:__________________________________

Type of card:    ___ Discover     ___American Express    ___Visa    ___MasterCard

Name on Card:__________________________________

Card Number: __________________________________

Expiration Date:__________________________________

Begin my credit card giving as follows:

    Missionary / Project Name                            Amount
___________________________   $___________________
___________________________   $___________________
___________________________   $___________________
___________________________   $___________________


I prefer the monthly charge date of:
_____ 5th of each month      _____ 20th of each month   Starting the month of ____________

I have read, understand and agree with the information on this form and realize I can cancel or change this monthly charge information at anytime in writing submitted to the OAC office. 

Signature:____________________________     Date:____________________

Mail completed form to: Open Air Campaigners, PO Box D, Nazareth, PA  18064

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