Prairie Avenue Donor Declaration
Thank you for your interest in leaving a legacy gift. Your generous support will help ensure the future ministry and mission of Prairie Avenue Christian Church.

Your attorney, accountant, financial planner or insurance professional may need the following information:

FEIN 37-6056944
Prairie Avenue Christian Church
2201 E Prairie Ave
Decatur, IL 62521

It is my/our pleasure to inform you of my/our desire to provide a planned gift to Prairie Avenue Christian Church through my/our estate plan, as described below.
Donor Name *
Second Donor Name (if joint gift)
Date *
Address *
Street Address
Address Line 2
City *
State *
Postal / ZIP Code *
Country *
Phone Number *
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