Giving Statement Request Form

Giving Statement Request Form
Greetings New Vision Family! Please complete this form to request your annual giving statement. If you have any specific questions please email finance@nvim.org.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Statement Format*

I am requesting an individual statementI am requesting multiple statements for my household (including spouse, children, etc)
Please list the names included on the statements*
How would you like your statement delivered?*

via emailpick-up from the church officevia postal mail
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address to send statement*
example@example.com
Any additional comments or requests:
Should be Empty: