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.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Your Beneficiary *Make sure our records up to date with the name of your beneficiary.Clergy Care Offerings *Harvey/Carson/Fitzgerald - (July 2022) - $ 30.00Addesa/Dunahoo/Dugas/Mattsson-Boze (February 2022) - $ 40.00Salazar-Sutton/Fox/Anderson (November 2021) - $ 30.00Credit/Debit Card *CardName on CardTotal$ 0.00SignatureClear SignatureCommentSubmit