Welcome To Christian Hands In Action!

Yes, I/We would like to join CHIA in the "Living Water Project"

Any investment in any amount is important. Although we run with a very lean staff, your sponsorship of this project will go a long way in helping provide clean drinking water to a village and/or family in Mexico. We welcome your monthly or one time investment of any amount.

Your Information

Prefix:

Name/Company:

Contact:

Address:

City, State:

Zip:

Telephone:

E-Mail:

Sponsorship

Full Drip System (1 year)		$ 375.00 (includes replacements)
Full Drip System (startup)		$ 275.00 (setup for 6 months)
Full Home System (1 year)		$ 60.00 (includes replacement)
Full Home System (startup)		$ 40.00 (setup for 6 months)
other		special donation for the project

Credit Card Information

Card Type:

Card Number:

Card Owned by:

Personal Business Church

Expiration Date:

Amount($):

Based on sponsorship or special donation

Please enter the billing address if it is different from above

Billing Address:

Billing City, State:

Billing Zip:

Billing Country:

Donation Information

I want to partner with CHIA Missions.

I'd like to give this one time.

I'd like to give this amount on a monthly basis by this credit card.

I'd like to give this amount on a monthly basis by check.

Comments

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