Print this page and mail it to ACMC.

Date of Submission…………………………………

Signature…………………………………………….

Monthly Support Form of
AGAPE CHRISTIAN MUSEUM CENTRE (ACMC)

DKP FORM FOR BLESSINGS FOR MONTHLY SUPPORTER

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. 100/-
[   ]   Rs. 150/-
[   ]   Rs. 300/-
[   ]   Rs. 500/-
[   ]   Rs.1000/-
[   ]   Rs. 5000/-
[   ]   Rs.10,000/-
[   ]   Rs………………..

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)