Book your field form

Thank you for your desire to be a vertual Farmer! To book your field
and ensure that you receive a tax receipt
and that you receive regular updates about how your crop is growing,
please complete the following:
Note all fields except "comments" need to be filled in or the form will not submit!

Email:
Last Name:
First Name:
Address:
City:
province/state:
country:
PC-Zip:
Phone:

Cost is: $200.00/acre but you may purchase any amount of an acrea you would like.

Amout Paid:
Pledge-amount:

To send your payment by cheque after completing this form mail as indicated below.
To make your donation online please put “online giving” in the Comments section of this form then use the tab on the left to go to our Online giving page with "Canada Helps". Follow the instructions and use the pull down donation menu (second screen) to note you are supporting "Kernels of Hope".

Comments:

If you have any questions, please email me at raybaloun@hotmail.com or phone me at 204-867-5341

Pledges are due by June 30... Payment due by July 31... 2008

Please make cheques payable to ECCC.

Mail to: Evangelical Covenant Church of Canada
PO Box 34025, RPO Fort Richmond
Winnipeg, MB R3T 5T5
If you have any questions contact Shauna at messengr@escape.ca
204-269-3437 (office) 204-269-3584 (fax)

Receipts will be issued: January, 2009