First Presbyterian Church of Fairfield Donation Form
Secure Online Donation Form

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

*Designation:    Payment toward Pledge   One Time gift  

*Amount $:  .00      
*Frequency: 

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

*First Name:  *Last Name: 
*Address 1:  Address 2: 
*City:  *State: 
*ZIP Code:  *Email: 
*Preferred Phone #:  Alternate Phone #: 



*Payment type:    Credit Card   E-Check 

If by Credit Card:  


If by E-Check: 

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

                                        
If this contribution is being made   in honor   in memory   N/A 
Please provide Full Name of person being honored/remembered:
Name, Address, Email address of person that should be notified of your tribute gift:
(No commas, please.)

                                   Comments:


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.


 

  
First Presbyterian Church
2475 Easton Turnpike, Fairfield, CT 06825 • Phone: 203-374-6176 • Fax: 203-374-1643   Email: firstpresby@firstpresby.net


Untitled Page