Bethlehem Ministry, Inc.

$ 300

Student Sponsorship (One-Time Payment) | $300/yr Sponsors One Child

$ 300

Annual Student Sponsorship (Recurring) | $300/yr Sponsors One Child

$ 25

Monthly Student Sponsorship (Recurring) | $25/mo Sponsors One Child

If this is an update to an existing recurring sponsorship, please select:

Complete the entire form and explain the changes below.

500 characters left

Would you like to make this a:

Memorial Payment

Honor Payment

Anonymous

Payment

Name of whom your gift is in memory/honor of:

Please include the name and address of those you would like to send notice of your tribute, as well as any other details or comments.

500 characters left

Payment Options *

Credit Card or Check/Debit Card

Bank Account Transfer (ACH)

Card Number

Security Code (CVV2)

Expiration Date

Yes! I wish 100% of my donation amount to go to Bethlehem Ministry. I would like to pay the 2.5% processing fee associated with my donation.

Account Type(U.S. Banks Only)

Routing Number

Account Number

Yes! I wish 100% of my donation amount to go to Bethlehem Ministry. I would like to pay the $0.25 processing fee associated with my donation.

Your Information

First Name *

Last Name *

Billing Address *

City *

State *

Zip *

Province

Postal Code

Country

U.S. Phone

() -

International Phone

Email *

Your Contact Preferences - We have a quarterly newsletter and monthly emails. We would love to send these to you to keep you updated on how donations are making a difference in Haiti! We want our communications to meet your preferences - so please let us know below if there are ways you do not wish to be contacted:

Please do not send mail to me

Please do not email me

Please do not call me

All payments provided to Bethlehem Ministry, Inc. comply with U.S. laws and regulations.