Author: Paul Kulas

Yes, Joshua, I’ll help you train thousands to make
abortion unthinkable for millions, one person at a time.

Name_______________________________________________ Address___________________________________________________
City_______________________________________State______Zip_______________Tel_____________________________________
Email__________________________________ Amount of tax-deductible gift___________ Gift designation Joshua Pedrick
Check enclosed (payable to Justice For All) Frequency (please circle) Monthly Quarterly Annual One-time
Stock gift (Wachovia Securities, Account # 4583-1022 DTC 0141; Tel. 800.541.3960)____________________________________
Non-cash gift (real estate, auto, etc)___________________________________________________________________________
Form for Authorization Credit Card Charge enclosed (see below)
Form for Automatic Bank Withdrawal enclosed (see below)
Please contact me to discuss how I can include JFA in my estate planning (real estate, trust, will).
JFA is a non-profit 501(c)(3) corporation. Gifts are tax deductible to the fullest extent of the law. JFA honors donor intent whenever possible.

AUTHORIZATION FOR CREDIT CARD CHARGE
(For Credit Card Donation, fill out this section and the top section.)
MasterCard Visa Credit Card Number_________________________________ Name(s)_____________________________
Expiration Date _____/_____ Signature_________________________________________ Verification Code_____________
Initial BELOW to authorize PERIODIC credit card charge
Monthly_________ Bi-Monthly_________ Quarterly_________ Semi-Annually_________ Annually_________
This authority is to remain in full force and effect until Justice For All has received my written notification of termination
(please allow 30 days for processing. Card will be charged around the 20h of the month.)

(Last three digits on the back of the credit card)

AUTHORIZATION FOR BANK ACCOUNT DEBITS
(For automatic bank withdrawal, fill out this section and the top section.)
I (We) hereby authorize Justice For All to initiate monthly debit entries to my (our) account indicated below:
FINANCIAL INSTITUTION NAME______________________________________________
CITY___________________________________STATE_______ZIP_________________
ACCOUNT#____________________________________ [ ] Checking [ ] Savings AMOUNT $_______________
This authority is to remain in full force and effect until Justice For All has received my written notification of termination (please allow 30 days for processing). I also agree to notify Justice For All 30 days prior to any financial institution or
account changes. (Please attach voided check.)
Name(s)___________________________________________________________
(please print)
Signature____________________________________ Date:__________________
(only one signature needed)
Effective:_________________ (account is debited on 20th of each month)
(month and year)
Please attach voided check and return to: Justice For All, 113 N. Martinson, Wichita, KS 67203 Tel. (800) 281-6426

For JFA Office Use Only:
PID # ________
Date processed____________________
Transit/ABA#_________________________
Initials_______________________________

For JFA Office Use Only:
PID # ________
Date processed____________________
Transit/ABA#_________________________
Initials_______________________________

Email: pedrickthethird@yahoo.com