St. Vincent DePaul Mission Secure Online Donation Form

Secure Online Donation Form

Donations are tax deductible to the extent allowed by law.

Please complete the fields below. Do no use the auto-fill feature on your browser.

Please note that the fields with an asterisk (*) are required.

*First Name:  *Last Name: 
*Address 1:  Address 2: 
*City:  *State: 
*Zip Code:  *E-mail: 
*Daytime Phone #:  Evening Phone # : 
Alternate Phone # :  Organization: 

Please select the St. Vincent DePaul Mission program to which you would prefer to direct your donation:
 Where it is needed most
 Homeless Shelter
 Soup Kitchen/Merriman Culinary School
 Thrift Store

*Donation Amount:   $  .00

*Payment Type:   Credit Card   Check 

If by Credit Card: 

If by Check: 
*Credit Card Type:  
*Credit Card Number:  *Checking Account Number: 
*Exp. Date:  / *Routing Number:  Where do I find this?

If this gift is being made  in honor   in memory   N/A 
Please provide Full Name of person being honored/remembered:
Please provide Name, Address, and Email Address to whom we should send an acknowledgment:  (No commas, please.)

If your employer is a matching gift corporation, please indicate below:
I wish to know how to include St. Vincent DePaul Mission in my estate planning.  Yes   No 

After ensuring that all of the information above is correct,
please click the Submit Form Now button ONLY ONCE.
Multiple clicks of the Submit button will result in duplicate charges to your account.
An email confirmation will be sent to the email address you provided.


St. Vincent DePaul Mission of Waterbury, Inc.
34 Willow Street, P.O. Box 1612
Waterbury, CT 06721
Telephone: 203-754-0000   Fax: 203-756-0865
Email:     Website:

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