Joel + Hollie Pick Response Form

Join Pick Team with Extreme Response International

Please complete this short form so we can have a record of your partnership and preferences.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Phone Number

Area CodePhone Number
Sign me up!

I want to be a Financial/Prayer partner and bring hope and healing to South Africans.
I want to be a prayer partner to pray for the healing of South Africans

Yes
I want to be a regular partner to Pick's Program Account for the following amount:
Frequency

MonthlyAnnual
I want to give a special gift to Pick's Program Account for the following amount:
I'm a current partner on your team, but I'd like to increase my partnership for total amount of:
Ways to partner. Click an option below to receive giving instructions.*

Financial partner through Recurring Bank Draft (initiated by ER with your permission)Financial partner through Online Bill Pay (initiated by you through your bank)Financial partner through Credit Card DonationFinancial partner through Check mailed to Extreme Response
Recurring Bank Draft Instructions:
Please contact Sara Walkowski, our Donor Accounting Specialist.
Email: swalkowski@extremeresponse.org
Phone: (678) 344-1950

Sara will help you set up a recurring bank draft.
Online Bill Pay Instructions:
Call your banking institution or go online to your banking website for instructions to set up “online bill pay.” During the process, you will need to include the following information:

Extreme Response International
PO Box 345
Snellville, GA 30078

Tel: 678-344-1950
Email: donations@extremeresponse.org

The company name/recipient is Extreme Response International

Designate to Pick Program.
Credit Card Donation Instructions:
Click here to go to Extreme Response's Donation Page

In the GIVE TO: Field, select "ER Missionary Support

In the Choose ER Missionary Support, select, Pick, Joel & Hollie

Complete the form with your credit card infomation.
Instructions for Mailing a Check:
Please make your check Payable to:
Extreme Response International

Send to:
Extreme Response
P.O Box 345
Snellville, GA 30078

Please include a note with your designation for Pick Program.
Connecting with you:

We use a private communication portal called Epistle to share our updates with our partners. When you hit submit on this form you will be taken to the sign up page for Epistle. Epistle does not sell your contact information or market to you. This is a services specific for ministry. Thank you for signing up.
Thank you for your partnership! It's greatly appreciated!

Joel & Hollie
Should be Empty:

Join Pick Team with Extreme Response International

Sign me up!

Connecting with you:

Thank you for your partnership! It's greatly appreciated!