Name *

First Name

Last Name

Phone

(###)

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Please tell us which of these areas of GHM's work are important to you. (Check all that apply.)

Shipping Medical Supplies

Community-Based Health Care

Training Health Workers

Maternal and Child Health

Water and Sanitation

Infectious Disease

How satisfied are you with the work that we do?

Not satisfied

Somewhat satisfied

Very satisfied

Which of the following could bring our work closer to you? (Check as many as you wish.)

One-to-one meetings

Small informal in-person events

Gala Events

Zoom meetings with staff and volunteers

Do you subscribe to the GHM Newsletter by mail or email?

Yes!

No, I am not interested at this time.

No, please sign me up for the bi-monthly email newsletter

What would you like to read more about in GHM's bi-monthly Newsletter? (Check top three.)

Updates on specific GHM programs

Profiles on GHM staff

Profiles on our partners - organizations and people with whom we collaborate in the countries where we work

Stories from the field about the people who benefit from our programs

Profiles of supporters

How to support the work of GHM

What is the main reason you support GHM? (Check one.)

Belief in GHM's mission

Interest in a particular program

Our local partnerships in the countries where we work

Strong reputation for cost-effectiveness

Work in a geographic area

Many people like to leave a gift to ministry in their will or trust, or by beneficiary designation. Have you considered making such a gift to Global Health Ministries?

I have left a gift to Global Health Ministries in my will or trust, or by beneficiary designation.

I am interested in making this type of gift to Global Health Ministries.

Not now, but in the future I would definitely be interested in making this type of gift.

I am not interested in this type of gift.