Daystar Donation Options

To make a monthly donation, please print this form, fill out the information and mail (or fax) it to the address below. Please feel free to call our office with any questions: 952-928-2550

(Name & address should be the same as the credit card billing information)

____________________________________________ Name

____________________________________________ Address

____________________________________________ City / State / Zip

____________________________________________ Telephone

____________________________________________ Email

I authorize Daystar U.S. to debit my credit card $ ________ (minimum $15) as specified below. I understand that changes to this agreement must be made in writing and submitted to the Daystar U.S. Office. Please allow 30 days (before the next payment date) for any changes to be applied.

Credit Card: (circle one) . . . Visa . . . MasterCard . . . Discover

Deduct my donation automatically each month, starting in _______________ (month):

. . . . . . Your donation will be deducted on the 15th

Please use my gift for:

$___________ Scholarships

$___________ Where Needed Most

$___________ Other _______________________________________________

$___________ Total Monthly Donation

Credit Card Number _________________________________ Exp. Date _______

Credit Holder Signature ________________________________ Date __________

CSC Number _______

The Card Security Code (CSC) is a 3- or 4-digit number printed in the signature field on the back of your credit card. On some cards, the credit card number, or part of it, appears before the CSC.). Example:

Mail or fax to:

Daystar U.S.

5701 Normandale Road #325

Edina, MN 55424-2400

Fax: 952-928-2551

Daystar U.S. is a IRS registered 501(c)(3) non-profit organization, all donations are fully tax-deductible to the extent provided by law.

Thank you for supporting the ministry of Daystar!!!