Donor Information

Provide your mailing address to receive our newsletter in your mailbox at least 2x a year
Provide your email address to receive monthly updates in your inbox
Include your city & province so that we can let you know of events happening in your area

* Required Fields

Contact Information

First Name

Last Name

Please also send me Impact Ministries Prayer Requests

Address

City

Province

Postal Code

Primary Phone

Cell Phone

How did you hear about Impact Ministries?

Additional information