Support our efforts to save lives of the most vulnerable. Print out this form and send it in with your contribution to:

Fargo Moorhead LIFE Coalition
112 N. University Dr.
Suite #L138
Fargo, ND 58102

Phone (701) 237-5062
lifecoalition@qwestoffice.net

Enclosed is my gift of _________________________________

Donor's name_______________________________________

Address___________________________________________

City/State/Zip_______________________________________

Email Address______________________________________

Phone____________________________________________