Giving Statement Request Form

Giving Statement Request Form
Greetings New Vision Family! Please complete this form to request your annual giving statement. If you have any specific questions please email finance@nvim.org.
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Statement Format *

I am requesting an individual statement I am requesting multiple statements for my household (including spouse, children, etc)
Please list the names included on the statements *
How would you like your statement delivered? *

via email pick-up from the church office via postal mail
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address to send statement *
example@example.com
Any additional comments or requests:
Should be Empty: