PAYMENT NOTIFICATION – Christ Mercyland Deliverance Ministries

PLEASE FILL THIS NOTIFICATION AS BEST YOU CAN.

Always enter your PARTNER CARD NUMBER if you have one.
If you do not have one yet use ‘0‘ as your number.
Always indicate where ‘Already a Partner, New Partner, Zoom Support, Tithes/Offering, Seeds‘
For Enquires: Contact partners@christmercyland.org.

PARTNERSHIP NUMBER *

IMPORTANT: Indicate Partnership Number so that we can update it properly. New partners can enter “0” (zero)

FULL NAME (First name, Last name) *

EMAIL *

PHONE NUMBER *

COUNTRY *

REASON FOR PAYMENT *

Please indicate: New Partner, Old Partner, Zoom Support, Offering & Tithes, Seed of Faith

CATEGORY *

AMOUNT

CURRENCY

For Partnership Payment only: Please indicate which months you are paying for.

Year

Month

MODE OF PAYMENT *

NOTE: If you made a Bank transfer indicate in the “comments” section which bank account you transfer

Payment Mode Transaction Ref:

Please enter a reference number, receipt number, teller number etc.

Date of Payment *

Comments:

Receipt Upload (jpeg, pdf, png)

Drop your file here or click here to upload

Please upload your receipts here, only if you haven’t sent to ‘mercytvpartners@gmail.com’ or ‘partners@christmercyland.org’

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