Benedictine Sisters Secure Online Donation Form

Secure Online Donation Form

Please note that fields with an asterisk (*) are required.
For your security, this form will not work if you use the AutoFill feature in your browser.

*Donation Amount $:  .00           
*Donation Frequency: 

If you chose a monthly frequency, please choose the date you would like for us to charge your account:

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

*Payment Type:   Credit Card   Check 

If by Credit Card: 

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

Please choose the appropriate radio button, ONLY if this gift is being made:
 in honor   in memory   to note a Special Day   N/A 
Please select the a Special Day, if appropriate:   Other Special Day: 

Please provide Full Name of person being honored/remembered:
Please provide Name, Address, and E-mail Address to whom we should send notification of your gift:
(No commas, please.)

Is your employer a matching gift corporation?  Yes   No 
Employer information: (No commas, please.)
 Yes, please tell me how I can furthter assist the Benedictine Sisters of Baltimore through my estate plan/will. 

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 e-mail confirmation will be sent to the e-mail address you provided.

About SSL Certificates

Benedictine Sisters of Baltimore
Emmanuel Monastery
2229 W. Joppa Rd. Lutherville, MD 21093-4601 Phone: 410-821-5792

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