1. Inform SAMS of your intentions by mailing this form the SAMS office. Support may
begin immediately and usually continues until termination of missionary service.
2. All gifts are welcomed, especially a ONE DOLLAR A DAY contribution.
( ) I/we will pray for Jack.
( ) $10 per month
As God enables, I wish to contribute:
( ) $30 per month - ONE DOLLAR A DAY
This support will begin with the month of __________ 20_____.
( ) $____________ per month
( ) $____________ one time gift.
( ) I/we want to receive Jack's e.newsletter.
Make contributions payable to SAMS-USA and indicate Melvin in the
memo line. Mail to P.O. Box 399, Ambridge, PA 15003. A tax
deductible receipt will sent for income tax purposes. SAMS
missionaries must raise their full support.
Name: ___________________ __ ____________________________
State ___________________ __Zip ____