Donation Form


Name: ______________________________________________



Address:____________________________________________



City:________________________  State: _______  Zip:_______



Home Phone:_______________      Work Phone:______________



Cell Phone:________________        Email:___________________



Amount Enclosed $ _____________________________
At this time we are not set up to accept credit cards or on-line donations


_____  Please add me to your mailing list


_____  I am interested in volunteering my time and/or talents


_____   I have an in-kind gift, please contact me


_____  I would like more information, please call


Please Print, Complete and Mail this Form to:
Memphis School of Servant Leadership
258 N.  Merton
Memphis, TN 38112

Thank you for supporting our ministry in the community as we seek to raise up Christian servant leaders for the Church and the World.