Household Sponsorship Program Sign-up Form
 *Required
*Last Name
*First Name
*Street
Address
*City
*State
 *Zip Code
*Phone Number
including area code
Cell Phone Number
including area code
Please provide your email address in the space provided below.  Your email address will not be given to any
other entity and will only be used for GHMI purposes (updates, payment reminders).  Your email address will
help us to save money.  Thank you.
Please check your preferred payment option:
$90.00 Quarterly payments
 $30.00 Monthly payments
$360.00 Yearly payments
Please check you preferred payment method:
Pay by Check
Pay by Credit Card
Please fill out the household sponsorship form below then send your payment to Giving
Heart Ministries or pay online.  After clicking submit on the form below the address to send
your check to and the link to pay online will pop up for your convenience.

You will be receiving a Household Sponsorship Profile packet in the mail shortly.

Thank you very much for your support!
Sponsorship begins here...