Youth With A Mission Mail-in Contribution Card



Youth With A Mission Mail-in Contribution Form
Enclosed, please find my check, made payable to Youth With A Mission in the amount of $__________, designated for: __ Hurricane Katrina Disaster Relief __ Living Alternatives __ Where needed most

Name: ________________________________________
Street Address: _________________________________
City: __________________________________________
State: _________	Zip: ____________

Daytime phone: _____________	Evening phone: _____________

Mail this form and check to: Youth With A Mission P.O. Box 6787 New Orleans, LA 70174
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