ClergyCare

E4 Ministry Network / AGIF Clergy Care Members now have the honor of contributing a love offering to be given to the families of our departed members. Clergy Care is a voluntary program. Your contributions to the program will ensure that your beneficiary will receive the benefits of the Clergy Care program. Contributions are not tax-deductible. Please fill out the form completely including the name of your beneficiary.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Your Beneficiary *

Make sure our records up to date with the name of your beneficiary.

Clergy Care Offerings *

Harvey/Carson/Fitzgerald - (July 2022) - $ 30.00
Addesa/Dunahoo/Dugas/Mattsson-Boze (February 2022) - $ 40.00
Salazar-Sutton/Fox/Anderson (November 2021) - $ 30.00

Credit/Debit Card *

Card

Name on Card

Total

$ 0.00

Signature

Comment