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Disaster Relief

Thank you for your generosity toward helping all those affected by these disasters!

Gift amount:

$25

$50

$100

$250

$500

$1,000

Other

Amount:

Designation

Designation: other Designation:

Parish

Parish List

Billing Address

Organization name:

Name: Title: First name: Last name:

Email:

Phone:

Country:

Address:

City:

State & zip: State: Zip:

City & county: City: County:

Postcode:

City:

Province & postal: Province: Postal:

Suburb:

State & postcode: State: Postcode:

Suburb:

City & post code: City: Post code:

Payment details

Payment method:

Credit card

Direct debit

Payment Processed by Blackbaud

Cardholder name:

Card number:

Card type:

Expiration: Month: Year:

CSC:

Bank name:

Routing number:

Account type:

Account number:

Account holder:

Is the information you entered to set up the Direct Debit Instruction correct?

Account holder:

Sort Code:

Account number:

Amount to be debited:

Collection frequency:

Date of first gift:
- Offices & Apostolates