Commitment Form

Become a Partner in God’s Work

By Joining the 1000 x 1000

Campaign


The goal of the 1000 x 1000 campaign is for individual supporters to pledge to donate or raise a minimum of $1000 by June 30th so that Lois’ Lodge can continue their regular operations in the locations which they are currently utilizing.

 

 ____     I will become a Lois' Lodge 1000 x 1000 partner through my personal pledge of  ________/month.  (January through June 2010)

 

____    I would like to make a one time donation of: ____ $5000, ____$2500, ____$1000,  _____  other

            _____   Enclosed is a check made payable to Lois’ Lodge

            _____   I will make donation online through the website:  www.loislodge.org

 

____    I pledge to raise ____  $1000,  _____ other, towards the 1000 x 1000 campaign.  Visit firstgiving.com/loislodge for online tools to help.

 

 
____  My company will match my donation to Lois' Lodge.

 

Company Information: _______________________________________________


____  I pledge to pray for Lois’ Lodge’s 1000 x 1000 campaign.

 

 Name  _______________________________________________________________________________­­

 

Address  _____________________________________________________________________________

 

City  __________________________  State  ______  Zip  ___________________

 

Email  ______________________________________________  

 

Phone  (home)  ____________________________   (cell)  ________________________________

 

Mail to:   Lois’ Lodge, P.O. Box 35188, Charlotte, NC  28235             Fax to:  704-376-8549