One Time Donation *Denotes Required Field * Title This form is to be completed by donors wishing to make a one-time donation to FEB Central Ministries. Receipts are issued on an annual basis by Email. Check this box if you would prefer a physical copy mailed to you. Personal Information (for receipting purposes) * Donor Information Individual Organization * Organization Name * First Name * Middle Initial * Last Name * Street Address * City * Province * Postal Code * Phone Number ( ) - * Email Donation Information Please indicate where to direct your donation. FEB Central General (Stronger Together) Fund Amount $ FEB Central Designated Support Please select the designation: Please select an option Regional Director Leadership Advancement Director Church Vitality Director Church Planting Director Bob Flemming Steve Adams Next Gen/LD Catalyst Support FEB Youth Special Offering Amount $ FEB Central Church Planting General Fund Amount $ To A Specific Church Plant or Apprentice Please Specify Which Church Plant or Apprentice: Please select an option Ajax Lighthouse Church, Ajax Anchor Hope, Port Dover Anthem Church, Sarnia Baden Central Church, Baden Bethel Southwest Church, Glencoe Boreal Baptist Church, Manitouwadge Brad MacPhail, Church Planting Apprentice Chelsea Green Community Church, London Church of the City Brampton, Brampton City Centre - Arabic Church Plant, Mississauga Cornerstone Church, Hensall Emmanuel North Barrie, Barrie Equip Church, Peterborough God's Kingdom Fellowship, Mississauga God's Love Church, London Guelph Baptist Mission, Guelph Hamilton Kurdish Church, Hamilton Harbour Church, Belleville Heritage Grace Church, Kitchener Hope Community Church, Port Hope Kingsville Christian Fellowship, Kingsville Life Church, Pickering Liberty Grace Church, Toronto Redeemer Reformed Baptist Church, Toronto Ryan Oh, Church Planting Apprentice The Centre Community Church, Lindsay Amount $ Payment Options (Please Choose One) : E-Transfer Please use the email address: accounting@febcentral.ca to set up your e-transfer. E-Transfer Password: Cheque Please Make Payable To: FEB Central. In The Memo Designate Where You Want The Funds Directed. Mail to: FEB Central 175 Holiday Inn Drive Cambridge, On N3C 3T2 Credit Card Type Visa Mastercard Card Number Expiry Date Security Code (3 digits on the back) * Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2023 2024 * Signature Use your finger or mouse to sign in this box. Clear Signature