Covenant Enabling Residences of Minnesota 322 N. 60th Ave. West Duluth, MN 55807 Mr./ Ms.____________________________________________________________ Address ___________________________________________________________ City __________________________ State ________ Zip ____________________ E-mail ____________________________________________________________ I am making a gift of: [ ] $25 [ ] $50 [ ] $100 [ ] $250 [ ] $1000 [ ] Other $________________ Make check payable to Covenant Enabling Residences of Minnesota. If paying by credit card: [ ] MasterCard [ ] Visa Card Number _______________________________________________ Security Code _______________ Expiration Date __________________ Signature ___________________________________________________ |