| ___ Cedars Club $100-$249 | ___ Antioch Circle $250-$499 |
| ___ Melkite Sponsor $500-$999 | ___ Eparchial Benefactor $1,000-$2,499 |
| ___ Patriarchal Patron $2,500-$4,999 | ___ Founders Society $5,000-$9,999 |
| ___ The Chrysostom Guild $10,000 & above | ___Other Amount __________________ |
Name:______________________________________________
Address: ____________________________________________
City/State/Zip:_________________________________________
My Parish is __________________________________________
Your gift is tax-deductible to the extent permitted by law. Web form provided by WWW.Melkite.Org
___ Please know that I have included the Melkite Church in my will.
___ Send me information about providing for the Church in my will.
Please make your check payable to Archbishop's Appeal and mail it to The Archbishop's Appeal, The Melkite Church in America, 3 VFW Parkway, West Roxbury, MA 02132-7722