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To arrange for automatic monthly donations, please print and fill out the form below.

This will set-up recurring transfers from your bank account to Mission Haiti, Inc. - Midwest.

Click here to view and print the form (you will have to use your browser's print function).  This form can open and print in either Microsoft Word or any internet browser.  If you have trouble with this feature, please email our webmaster. 

Please review the form carefully, fill out, and mail to;

Mission Haiti, Inc. - Midwest

3389 Alexandria Pike

Anderson, IN 46016

Thank you for sharing with us in this ministry.

God bless

Webmaster

2006 Mission Haiti, Inc. - Midwest