I Will Pray For______ and Their Financial Needs

DONOR RESPONSE SHEET Print & return SIGNED form along with payment method to: JEMS/AACF 948 E Second St Los Angeles, CA 90012

NAME: ADDRESS: STATE ZIP CITY: : : PHONE: () EMAIL:

Amount as my preference being given to the following account(s): $ AACF General $ AACF – University of Southern California $ AACF – University of Washington $ AACF – UC Los Angeles $ AACF – UC Davis $ AACF – UC Santa Barbara $ AACF – UC Berkeley $ AACF – UC Irvine $ AACF – San Francisco State University $ AACF – Cal State Long Beach $ AACF – San Jose State University $ AACF – UC Riverside $ AACF – UC Santa Cruz $ AACF – UC San Diego Amount as my preference for the following campus minister account(s): (For check payments, ONLY list number on memo line) $ 37020 Chong Ahn, University of Washington (UW) & Seattle Pacific University (SPU) $ 34420 Melanie Mar Chow, Operations Director $ 34470 David Fong, UC Berkeley (CAL) $ 37010 Jonathan Liu, Director $ 34560 Arnie Ong, SF State $ 37000 Victor Quon, Director of Strategic Relations, SJSU $ 11420 Carolyn Shimabukuro, PNW Regional Director $ 37030 Chloe Chow, Intern, Social Media Coordinator

Please indicate payment method: Check (Please make payable to AACF) EFT monthly gift (See below for Electronic Bank Withdrawal authorization) Credit card – Visit https://jems.networkforgood.com to support the campus or campus minister account of your choice EFT AUTHORIZATION FORM I, (print name) agree to contribute monthly to JEMS/AACF to the accounts designated above through the Electronic Fund Transfer (EFT) program. I authorize my bank to pay JEMS/AACF the amount(s) indicated above on the 1st or 15th work day of every month. This authorization will remain in effect until I notify in writing to JEMS/AACF my wishes to change/finish contributions. Please start with the month of: on the 1st or 15th day (check choice)

SIGNED: ______DATE: ______Enclosed is my VOIDED BLANK CHECK from the bank account to be used for EFT withdrawal. DONOR RESPONSE SHEET

Thank you for supporting AACF!

As required by the Internal Revenue Service (IRS), all contributions are solicited with the understanding that JEMS/AACF has complete discretion and administration over the use of the donated funds.