RENEWAL CENTER OF THE SOUTH

Post Office Box 84

Bahama North Carolina 27503-0084

Phone and Fax (919) 477-8123

_____________________________________________________________________________________________

RENEWAL CENTER OF THE SOUTH

Letter of Intent

Full Name: ________________________________________

Address  : ________________________________________

                ________________________________________

Daytime Phone (___) _______________________________

As a supporter of RCS I/we want to help support this special place of spiritual refuge for all Twelve-Steppers in the South.  I/we intend to give:

Total Gift $ _________                                               Amount Enclosed: $ ____________

Balance payable by December 31, 2008 $________________

OR

Other payment schedule______________________________

Gift designation or special terms, if any __________________________________________

__ Check here if you wish your gift to remain anonymous.

Signed ___________________________

Date   ___________________________

All contributions to RCS are federally tax deductible within any limitations prescribed by law.

Please make checks payable to:

The Renewal Center of the South, Inc.,

P.O. Box 84, Bahama, NC 27503-0084