Initial Partner Orientation Packet

• Letter from Billy Burke
• Information on what to expect as a partner with Billy Burke
• Partners in Ministry Brochure

Healing Hands International
One Time Gift

Personal Information:
(Fields marked with * are required)

My One time Gift: $

Credit Card Number: *

Expiration Date: *

Building Fund $

Credit Card Number: *

Expiration Date: *

Other $

Credit Card Number: *

Expiration Date: *

First Name: *

Last Name: *

Address Line 1:*

Address Line 2:

City:*

Zip:*

Country:*

Phone:*

E-mail:*

State:*

Automatic debit/credit available

on 3rd, 16th or 28th of the month

My Gift will be sent by mail.

e.g (000-000-0000)

---------------------------

Healing Hands International
Partnership

Personal Information:
(Fields marked with * are required)

Prefix:*

First Name: *

Last Name: *

Suffix:

Address Line 1:*

Address Line 2:

City:*

Zip:*

Country:*

Phone:*

E-mail:*

State:*

e.g (000-000-0000)

I would like to increase my Partner Level. *

Healing Hands Monthly Partner Level:

Credit Card Number: *
Expiration Date: *

$120.00 $80.00 $60.00 $40.00 $20.00
(outside the U.S., $30.00 or more please, due to S & H)
Automatic debit/credit available
on 3rd, 16th or 28th of the month