Congregation of Sisters of St. Agnes Secure Server CF
Secure Server Donation Form

YES! I would like to make a donation to the Congregation of Sisters of St. Agnes.

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

*First Name:
*Last Name: 
*Street or P.O. Box: 
Apt./Suite/Floor # : 
*Zip Code: 
*Daytime Phone: 
Work Phone: 

*Donation Amount: $  .00


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

*Program:   Greatest Need   Mother Agnes Projects - U.S. Ministries   Care of Senior Sisters   Latin American Ministries 

I am an Associate, please use my donation for    Associate Relationship   Associate Scholarship 

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

Please list my name in your annual report as:

This gift is in honor of:
This gift is in memory of: 
I will take necessary steps to have this gift matched by my employer. Company Name:
Please place the following intention in the Sisters' prayers.
*I wish to know how to include the Sisters in my estate plans.
 Yes   No 
*I have included CSA in my estate plans.
 Yes   No 

I wish to be a partner with The Congregation of Sisters of St. Agnes, furthering CSA's mission and ministries.
 Yes   No 
One of our Sisters is a:  Relative   Friend   Former teacher   No direct relationship 
Sister's Name:
Are you an:  Associate   Other 

Please suggest names and address and/or e-mail of others who might like to receive our newsletter:
Thank you.               

About SSL Certificates

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.


Congregation of Sisters of St. Agnes
Office of Development
320 County Road K
Fond du Lac, WI 54935
Phone: (920) 907-2319

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