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Mission Remittance Form
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Please Send Remittance Check and Submit Form By The 20th of The Month. Thank You.
Church
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City
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PIN
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Form Completed By (*)
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Phone (*)
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01-Shared Mission $
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(Use 02, 03, and 04 ONLY if Session Committed to Percentages Different than in 01)
02- General Assembly $
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03- Synod $
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04-Presbytery $
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Total $
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08- One Great Hour $
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09- Disaster Relief $
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Project #
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Project Name
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10- Christmas Joy $
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11- World Hunger $
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12- Peacemaking $
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16- Theological Education
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21- Pentecost $
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50- Camp Greenwood $
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50- New Church Development $
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50- Two Cents/ Cents Ability $
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Selected Giving or Extra Commitment Giving (Use 09 Above For Disaster Relief)
Project Name
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Project Number
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Amount
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Project Name
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Project Number
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Amount
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Project Name
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Project Number
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Amount
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Project Name
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Project Number
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Amount
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Total Amount Remitted $
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Make Your Check Payable To: Presbytery of Lake Michigan
Mail to: Presbytery of Lake Michigan 1511 Helen Avenue Portage, MI 49002
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