Giving By Automatic Direct Debit NOTE: The regular monthly sponsorship amount is $29 and the annual amount is $348.Sponsors outside USA, must submit credit card option. Please Choose * This is a NEW auto-debit UPDATE existing auto-debit Is this a NEW debit set up or a change to an existing one? If this is a change, just enter your new instructions below. Please Choose * Auto-debit - CREDIT CARD Auto-debit - BANK ACCOUNT Choose to debit your bank account or credit card. Bank debits save us 3%. Is this for a New or Existing Sponsorship? * Existing Sponsorship New Sponsorship (choose one for me) New Sponsorship (I will choose) If new and choosing, please tell us specific name and/or type in message at the end of this form. What would you like to sponsor? * Child Sponsorship Jen Mellor (missionary to Kosovo) Other...I will provide info in the note field Contact Info MP Account ID (No problem if you don't have it) Full Name * The name used on the account. Email * Phone * Is your Billing Address in the United States? * Yes No Address * Submit/Confirm your Mailing Address: Street Number and Name City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * International Sponsors: Please Provide Remaining Address Info Here * Giving Info Name of Bank * Bank Routing Number * Account Number * Credit Card Type * Visa Master Card American Express Name as it Appears on the Card * Credit Card Number * Expiration Date (MM/YY) * Total Auto EFT Amount * Your total monthly or annually "auto-debit" giving. A child sponsorship is $29 monthly. Each child has 2 sponsors. I would like to donate this amount: * Monthly Annually Please add my unpaid balance to the first donation only * Yes No N/A Questions? Comments? Address change? Let us know. Thank you! Lets us know you are a human.