My Name is: ___________________________________________________________

My Address is: _________________________________________________________

My Email Address is: ____________________________________________________

Please find enclosed: $ _________________________

I plan to give $ ________________ to support the Ministries of CCM this year.

Your Gift is Appreciated and Tax Deductible.

Thank You!

Your donation supports

Cooperative Christian Ministry through our

Crisis Center

Food Pantries

and

Samaritan House Night Shelter and Soup Kitchen.