My 2005 COMMITMENT TO THE MINISTRY OF CCR

Name: _________________________________________________

Address: _____________________________________________________________________

Phone: __________________________________

___ I would like to join "Renewing The Fire Partners"

          $_____________ every month     $____________ every three months (quarterly)

___ I commit to supporting CCR for one year in prayer.

___ I am making a donation of $ _________ to help defray the expense of office rent and maintenance.

___ I am making a donation of $ _________ to help support the expenses of the TELIS
(suggested donation - $12)

___ I would like to volunteer at the Center to help with:

Typing ___   Answering Telephones ___   TELIS mailing ___   Cleaning ___

Please make check payable to C.C.R. and mail to:

CATHOLIC CHARISMATIC RENEWAL, INC.
4207 E. Broad St., Suite C, Columbus, OH 43213
614-237-7080