Yes, we are ready to accept the challenge and participate in the Reaching Out^TM program.

Church Name:
Contact Person:
Address:
City:	State:
Zip code:
Phone:
Fax:
E-mail:

The ministry center we have chosen to support is:

Africa/ Middle East: Cameroon Egypt Ethiopia Ghana Kenya Lebanon Madagascar Malawi Nigeria South Africa Uganda

Asia/Pacific: Cambodia China Hong Kong India South Korea Laos Myanmar Sri Lanka Thailand Vietnam

Europe: Kazakhstan Latvia Russia Slovakia

Latin America: Argentina Brazil Guatemala Mexico Nicaragua Panama Paraguay Uruguay Venezuela

The amount of support we have chosen to commit is $
(per year), for years.

(see suggested giving levels below)

Annual Gift	Quarterly Gift	Monthly Gift
$500 - $1,000	$125 - $250	$42 - $83
$1,000 - $2,499	$250 - $625	$83 - $208
$2,500 - $4,999	$625 - $1,250	$208 - $417
$5,000 - $7,499	$1,250 - $1,875	$417 - $625
$7,500 - $9,999	$1,875 - $2,500	$625 - $833
$10,000 - $14,999	$2,500 - $3,750	$833 - $1,250
Over $15,000	/ 4	/ 12

A receipt will be sent to your congregation for each gift payment received. Newsletters, emails, and direct communication with the staff in the ministry center are just some of the ways you will stay connected with your sponsored ministry.

Congregations who commit to support a ministry center for at least three years with a donation of $5,000 or more a year will have the opportunity to send their pastor or congregational representative to visit the ministry. The cost of transportation and simple accommodations will be hosted by LHM in order to give the guest firsthand experience with the people, the culture, and challenges within the country.

For additional information or if you have any questions, please call Nancy Amundson at 1-800-944-3450, ext. 4275 or send an e-mail to ReachingOut@lhmint.org.