Secure Server Donation Form
Please note that the fields with an asterisk (
*
) are required.
You can use American Express, Discover, Visa or Mastercard with this form.
Title:
Mr.
Ms.
Mrs.
Miss
Mr. and Mrs.
Dr.
Father
Sister
Brother
Select One
*
First Name:
*
Last Name:
*
Street or P.O. Box:
Apt./Suite/Floor #:
*
City:
*
State:
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
D.C.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code:
*
E-mail:
Phone:
Designate my gift for:
Most Urgent Need
Foreign Missions
Care of Retired Sisters
You can select either a one-time contribution or a monthly contribution. As a monthly contributor, your gift will be automatically transferred to the Sisters every month until you stop or change the amount of your gift. A record of each contribution will appear on your bank or credit card statement. (Gifts will be processed on either the 1st of the month, or the 15th of the month, whichever is closer). Of course you can stop your monthly contributions, at any time, simply by notifying the IHM Development Office at
donate@sistersofihm.org
Select One
One-Time
Monthly
*
Gift Amount $
.00
*
Payment Type:
Credit Card
Check
If by Credit Card:
*
Credit Card Type:
Visa
Master Card
American Express
Discover
--
*
Credit Card Number:
*
Exp. Date:
January
February
March
April
May
June
July
August
September
October
November
December
/
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
If by Check:
*
Checking Account Number:
*
Routing Number:
Where do I find this?
I am interested in leaving the IHM Sisters in my will. Please contact me.
Yes
No
I have remembered the IHM Sisters in my estate plans.
Yes
No
If you were taught by IHM Sisters, please tell us what school you attended and your graduation year.
School
Graduation Year
After ensuring that all the above information is correct,
please click the "Submit Form Now" button
ONLY ONCE
About SSL Certificates
Congregation of Sisters, Servants of the Immaculate Heart of Mary
IHM Center
2300 Adams Avenue
Scranton, PA 18509
570-346-5431 / 570-963-2482 Fax
donate@sistersofihm.org