Living Waters International Student Sponsorship Form

Instructions: Please print this form, fill it out, and then mail to the address provided at the bottom of the form.

Name:  
Address:  
 
 
 
 
 
Phone (optional):  
Email (optional):  
I would like to sponsor a: Boy
Girl
Child in most need

The child I would like to sponsor is named (optional):
I would prefer to be billed: Monthly (Automatic transfer. Please contact me for details regarding my account information.)
Monthly (Send check by mail)
Quarterly (Send check by mail)
Semi-annually (Send check by mail)
Annually (Send check by mail)
I am enclosing a check for my first: 1 month ($25)
3 months ($75)
6 months ($150)
1 year ($300)
Bill me when my student sponsorship begins
I am not able to sponsor a student at this time: But please accept my contribution of $ toward the work of the missions in East Africa.
Make checks payable to: Living Waters International, Inc.
Please send your completed form and check to: Living Waters International, Inc.
Student Sponsorship Program
P.O. Box 614
Antigo, Wisconsin 54409