|
 
Annual Giving Campaign Individual
Donation Form
Yes! I want to donate to the
Worldwide Seminarian Support! Please complete this form, print it
out, and enclose it with your payment, payable to the Worldwide
Seminarian Support. Mail to: Worldwide Seminarian Support,
315 Northeast
28th Avenue, Unit C,
Portland,
Oregon 97232.
Name: (as you wish listed)
__________________________________________________________________________
Address:
________________________________________________________________________________________
City, State, Zip Code:
______________________________________________________________________________
Phone number:
___________________________________________________________________________________
E-Mail address:
__________________________________________________________________________________
I would like to support the WSS
as a/an:
Benefactor
($25,000 and above) Bronze
Founder ($150 to
249)
Leadership Circle
donor ($10,000 to $24,999 or more) Faithful 1000
Campaign ($240 annually or
$20 monthly)
Patron ($2,500 to
$4,999) Founder ($100 to
$149)
President’s
Circle donor ($1,000 to $2,499) Associate ($50 to
99)
Gold Founder
($500 to $999)
Any donation is a blessing
$___________
Silver
Founder ($250 to $499)
Amount enclosed
$________________________________________________________________________________
Is your donation being made in Memory or in
honor of someone special? IF So, Please complete the
following:
In Memory of:
_________________________________________
In Honor of:
___________________________________________
Please send an acknowledgment card
to:
Name:
________________________________________________
Address:
______________________________________________
City, State, Zip Code:
____________________________________
I’m making a gift by check
The WSS is a 501( c ) ( 3)
nonprofit organization under the regulations of the Internal Revenue
Service. All contributions to Worldwide Seminarian Support ( WSS)
are tax-deductible to the extent provide by law.
| 
