 |
Baby
Certificate Request Form |
BABY'S NAME_____________________________________________________________
PRESENTED
BY: ___________________________________________________________
PARENTS
NAME(S): ________________________________________________________
DATE OF PRESENTATION___________________________________________________
BABY’S NAME:
___________________________________________________________
PRESENTED
BY: ___________________________________________________________
PARENTS NAME(S): ________________________________________________________
DATE OF PRESENTATION: __________________________________________________
BABY’S NAME: ____________________________________________________________
PRESENTED BY: ___________________________________________________________
PARENTS NAME(S):
_______________________________________________________
DATE OF PRESENTATION: __________________________________________________
Enclosed
is a check for $_______ ($5.00 for each certificate)
Make check payable to Midwest Women Ministries
Funds
from these certificates are given to our Conference Camps.
Mail to Midwest Women Ministries Treasurer
LaDonna Rossander
2915 220th Street
Stanton, IA 51573
Certificates are to be sent
to: Name ______________________________________________
Address___________________________________________________________________
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