Partners Form

* = Required Information

Our show is a 501C3 exempt organization that is designed to bring healing and deliverance by confronting and exposing the root issues that impact our churches, families and communities.

MONTHLY DONOR LEVELS:

Bronze - $25.00	Silver - $50.00
Gold - $75.00	Platinum - $100
One-time donor

Amount

Donor Name *

Full Address *

Donation Start Date: *

Donation End Date: *

Payable:

Cash	Check
Credit Card	Paypal Invoice

(All donations are tax deductible)