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International Church of the Nazarene
Request for Ten Percent Recognition
Point-to-Point Cash and/or Non-Cash Gifts

Please fill out as completely as possible:

*Church Name:

*Pastor:

*Address:

*City:

*State:

*Zip:

*Telephone:

*Email:

Church Number:

(The church number is listed in the directory section of the District Journal)

*Required

Description of Gift

Is this gift cash?

Cash

Non-Cash

Amount: $

Name of Receiving Ministry:

Do you have another gift for which you would like to receive Ten Percent recognition?

Yes