PERSONAL DONATION STAR & DIAMOND DONOR REGISTRATION Please enable JavaScript in your browser to complete this form.Report Year: *Your Name:FirstLastEmail: *Phone:Church Name: *Pastor's Name:FirstLastDonation Total: *Donor Level:Star (I gave a personal donation of $200 or more to Mothers Memorial)Diamond (I gave a personal donation of $1,000 or more to Mothers Memorial)Atlantic Ladies Ministries appreciates the incredibly generous support of individual donors. We would like to thank our donors publicly via a listing at the Atlantic Ladies Conference and a small recognition gift. However, we highly respect and value the privacy of our donors. We will only add these names to our published list of donors if you provide us with permission. By completing this form, you agree that Atlantic Ladies Ministries may publicly acknowledge your donation using your name only (we will not publish the donation amount).Comment or MessageWe sincerely thank everyone who has sacrificed this year to give to Mothers Memorial/Foreign Student support. Every dollar raised is so valuable to the Kingdom of God! To qualify for a gratitude gift and student sponsor certificate (1 certificate for each $200 donation), submit your offering through your local church and complete this form by June 15th. FOR MORE INFORMATION CONTACT: jlong@atlanticladies.com CommentSubmit MAIL YOUR OFFERING TO Atlantic Ladies MinistriesPO BOX 3096, P-A STN. MAINPERTH-ANDOVER NB E7H 5K2 DEADLINE: JULY 15