Congregational Remittance Form Click here to download and print a paper form. Or submit your information electronically here: Congregation Name*Congregation Number*Congregation Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Treasurer / Administrator's Name* First Last Treasurer / Administrator's Phone*(for if we have questions)Treasurer / Administrator's Email* (to receive a copy of your submission and for if we have questions)Remittance for*(Month and Fiscal Year)Check NumberPlease make checks payable, and send, to: NT-NL Synod, ELCA, 680 Copper Canyon Rd, Argyle TX 76226 Total Remittance Amount*Designations Our total remittance amount may go to Mission Support where needed most (NT-NL 52% / ELCA 48%) We would like to designate part of our total remittance amount to particular ELCA ministries We would like to designate part of our total remittance amount to particular NT-NL ministries Amount to Mission Support (NT-NL 52% / ELCA 48%)ELCA DesignationsAmount to ELCA World HungerAmount to Lutheran Disaster Response - U.S. onlyAmount to Lutheran Disaster Response - InternationalAmount to Campaign for the ELCAAmount to ELCA OtherDesignation for ELCA Other*Please provide the name(s) of the additional ELCA program(s) you want to support with the amount designated above.NT-NL DesignationsAmount to Bishop's Benevolence FundAmount to Bishop Associate's Benevolence FundAmount to DEM's Benevolence FundAmount to Briarwood Leadership / Retreat CenterAmount to Campus Ministry FundAmount to Lutheran Seminary Program in the SouthwestAmount to Lutheran Sunset MinistriesAmount to NTNL Mission Endowment FundAmount to NTNL Fund for LeadersAmount to Sierra Leone - Disaster ReliefAmount to Sierra Leone - GeneralAmount to Upbring(formerly Lutheran Social Services of the South)Amount to Mission Congregation SupportDesignation for Mission Congregation Support*If you would like to designate a particular NT-NL Mission StartAmount to NT-NL OtherDesignation for NT-NL Other*Please provide the name(s) of the additional NT-NL program(s) you want to support with the amount designated above.