Christian Family Coalition
	PO BOX 650216 Miami, FL 33265-0216

Contribute to Christian Family Coalition by Mail

Please print out this form, fill it in, and fax or mail it to our office listed below.

If you are sending a check, please make it payable to "Christian Family Coalition."

I want to do what I can to support the important work that Christian Family Coalition is doing.

I am enclosing my gift made payable to Christian Family Coalition in the amount of:

___ US $ 200     ___ US $ 100      ___ US$ 50     Other:___

If using a credit card, please fill out the following information:

Credit Card_______________________________________ 

Credit Card Number________________________________ 

Expiration Date____________________________________ 

Signature _______________________________

Name___________________________________________ 

Address_________________________________________ 

City/State/Zip ______________________________ 

Phone___________________________________________ 

Email___________________________________________ 

Mail your contributions in support of Christian Family Coalition to:

Christian Family Coalition