Sisters of the Order of St. Benedict Secure Contribution Form




Secure Online Donation Form

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

*Type of Donation:     General   Memorial   Honorarium 

*Please use this gift for:
*Please indicate gift frequency:

*Gift Amount in US Dollars:    $  .00 (No commas, spaces or characters, please)

If you chose a monthly or quarterly frequency,
please choose the date you would like for us to debit your account ,
and tell us how many payments .

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

*Country:  


May we contact you at your e-mail address?   Yes   No 



*Payment Type:  Credit Card   Check 

If by Credit Card:
*Credit Card Type:  
*Credit Card Number:  
*Expiration Date:   /

If by Check:
*Bank Account Number:
*Routing Number: Where can 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 notification of your gift:
(No commas, please.)
 


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


  
Sisters of the Order of Saint Benedict
Gen Maiers, OSB
Director of Development
104 Chapel Lane • St. Joseph, MN 56374 • Phone: 320-363-7142
Send us an E-mailwww.sbm.osb.org


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