ClergyCare E4 Ministry Network / AGIF Clergy Care Members now have the honor of contributing a love offering to be given to the families of our departed members. Clergy Care is a voluntary program. Your contributions to the program will ensure that your beneficiary will receive the benefits of the Clergy Care program. Contributions are not tax-deductible. Please fill out the form completely including the name of your beneficiary.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Your Beneficiary *Make sure our records up to date with the name of your beneficiary.Clergy Care Offerings *Caton/Drake (12/2025) - $20.00Caldwell/Cowell/Orpurt/Downing (8/2025) - $40.00McDonald/Scott/Carnes (4/2025) - $30.00Credit/Debit Card *CardName on CardTotal$0.00Signature Clear Signature CommentSubmit