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In Aid of ACMC Building Construction & Ministries
AGAPE CHRISTIAN MUSEUM CENTRE (ACMC)

PATRON MEMBER FORM

Name (in capital letters)…………………………………………….

Present Address…………………………………………………….

………………………………………………………………………..

Permanent Address………………………………………………..

…………………………………………Ph.No…………………….

Email:……………………………………………………………….

Prayer warriors will pray for you with fasting for your needs.
Prayer request for you and for your family.

1. …………………………………………………………………….

2. …………………………………………………………………….

3. …………………………………………………………………….

4. …………………………………………………………………….

# As God speaks to you please tick one of the ranks as below:-

[   ]   Rs. 1000/-
[   ]   Rs. 1500/-
[   ]   Rs. 3000/-
[   ]   Rs. 5000/-
[   ]   Rs. 10000/-
[   ]   Rs. 50000/-
[   ]   Rs. 100000/-
[   ]   Rs. 1000000/-
[   ]   Rs. 5000000/-
[   ]   Rs. 10000000/-

Please send in favour of "AGAPE CHRISTIAN MUSEUM CENTRE" to is Head Office:-

To,

Dr. Lhunkhohao Haokip
Founder President
Agape Christian Museum Centre
Opposite Tuibuong Petrol Pump
P.O. Box-110, Churachandpur-795128
Manipur (Mobile Phone 9862059465)