BWA Women’s Department
YES! I want to invest in this ministry!
    Amount of Donation: One time donation $ ____________________ Monthly donation: $______________________
  Day of Prayer Offerings __                      Operating Expenses __                  Officers’ Travel __
  Day of Prayer printing/mailing __               Where needed most __                   Scholarships for Rio Conference __
   Memorial __              In Honor __                     Young Women’s Consultations __
                          If this is a gift in honor of someone or a memorial donation provide the name and address of the person
                          being honored or where a donation acknowledgement should be sent.
                          Name:
                          Address:
Payment Information:
Checks or Money Orders (US or Canadian currency only): payable to BWA Women’s Department
Credit Card:
______ Visa _____ MasterCard
Name on Card __________________________________
Card Number ___________________________________
Expiration Date: ________ /__________              VCODE _______
                     (MM/YY)                                  (3 digit code on back of card near the signature line)
Signature_____________________________________________________________ Date: ______________________
Donor Information: (Your information will not be shared)
Name: __________________________________________________________________________________________
Street or P.O. Address: ___________________________________________________________________________
City: ________________________________ State/Province: _______________ Postal/Zip code: ______________
Phone: ____________________________ Email: _______________________________________________
                                                                  (for sending an electronic receipt)
        Please send this form with your donation
        A receipt will be provided after receiving your donation.
        We are a 501(c)3 charitable organization.
                                                        Thank you for your donation!
                                                     405 N. Washington Street
                                                    Falls Church, VA 22046 USA
                                           Phone: +1-703-790-8980 ext 16 or 403-632-5022
                                        Fax: +1-703-893-5160 Mark it clearly for BWA Women
                                                  Email: womenbwa@bwawd.org
                                                       Web: www.bwawd.org