Name:

Address:

City: State: Zip:

Email:

Phone:


Pay by Check

Make check payable to the “Episcopal Diocese of Mississippi” with “The Seeds You Sow”
in the memo. Mail check to:

Episcopal Diocese of Mississippi
P.O. Box 23107
Jackson, MS 39225


Direct Deposit

Please remember to send a voided check to the above address.

Payment frequency: Monthly (withdrawn on 15th of each month)Quarterly (withdrawn in Jan/Apr/July/Oct)Annually {withdrawn in Dec)

Withdrawal Amount:

I hereby authorize the Episcopal Diocese of Mississippi to automatically withdrawal
funds, as directed above:

Digital Signature: Date:

The Seeds You Sow | The Campaign for Camp Bratton-Green and the Gray Center
The Episcopal Diocese of Mississippi
The Rev. Gates Elliott, Director of Development and Planned Giving
601.948.5954 • gelliott@dioms.orgwww.graycenter.org