CHRISTIAN OUTREACH PROGRAM
& PREGNANCY CENTER, INC.
(COPPC)
If
you want to become a Shepherd of Hope" please use the "Print" button on
your browser to print out the following form and mail it to COPPC.
"SHEPHERD
OF HOPE" PLEDGE
FORM
"Shepherds of Hope"
are
financial partners in COPPC's ministry. As a "Shepherd of Hope", you
are a key supporter and your commitment is critical to
the on-going
program and its' effectiveness.
I,
my Church, or
Organization,_____________________________________ would be
interested in helping make a change in one
of the following
ways: (check all that apply)
- Pre-Natal
Assistance
- Domestic Abuse
Victim
- Single Working Mother
- Elderly
Assistance
- Family Assistance
- Fire
Family
- General Donation
Or
by committing to the following gift:
- $25/month
- $50/month
- $75/month
- $100/month
- Other
amount/month $ ___________
- A one time gift
of $____________
- Donate a vehicle
- Firewood
- Would
like someone to have someone speak to my Church/Organization
about COPPC
- My
company will match my charitable donation (Get info from your
Human Resource Department)
- Make
a donation in honor/memory
of__________________________________________
Mail all
correspondence, inquiries or financial donations
to:
COPPC, INC
PO BOX
262
NEW CANTON
VA 23123
Or
you may call us at
(434) 983-8643 - FLUVANNA RESIDENTS
MAY CALL
STACY AT (434) 589-9552
MAKE CHECKS PAYABLE
TO "COPPC"
OR WE CAN BILL YOUR
CREDIT/DEBIT CARD THE 10TH OF EACH MONTH
TYPE
OF CARD: MC/VISA CREDIT/DEBIT
CARD#_____________________________
EXP.
DATE:_________________________