CELF Investment Form

All investments are for indefinite terms with no penalty for early withdrawal. (A 30 day notice is requested.) The rates listed are paid on notes of deposit and are subject to change.  You will be notified 30 days prior to the interest rate adjustment.

In order to set up a new investment, download and send the completed form along with your check to our office.

Interest rates available. CELF Investment Program pays: *

Name: (as it reads on Social Security Card) *

Address: *

City: *

State: *

Zip: *

Telephone: *

Email: *

Social Security #: *

Amount Invested: $ *

Beneficiary: *

Signed: *

_________________________________________________

Date: *

Free Will Baptist Home Missions

Church Extension Loan Fund

PO Box 5002

Antioch, TN 37011-5002

615-760-6137