Download and open a «donations/pledge form».
The form contains instructions for
either mailing or faxing it to us.
Visit our secure «online donations site» and make a gift specifying
the date(s) you prefer.
Call Ida Diaz at 772.388.3331 x12 or Connie Cotherman at
x26. Either will be happy to assist you.
Call Keith Hinton at 772.388.3331 x27 to speak about planned giving
options or email him at «».
Or, use the following online form to submit the necessary information.
We'll get back in touch with you.
Pledge Donations Form
By electing to use the following form, you will by-pass our «Secure
Online Donations Page», where gifts can be made by Credit Card,
Debit Card, or eCheck. Caution, do not submit card or account
numbers using the following non-secure form. We will contact you
for additional information, if required.
Title
First Name(s) (required):
Last Name (required):
Email (required):
Address:
City:
State:
Zip:
-
Home Phone:
/
Cell Phone:
/
Other Phone:
/
Fax:
/
• ONE-TIME GIFTS/PLEDGES:
I (we) wish to make a one-time gift of $
to be made by Month:
Date:
Year:
• RECURRING GIFTS:
I (we) wish to make a
gift of $
to begin on Month:
Date:
Year:
to continue through Month:
Date:
Year:
or
until
cancelled by me (us).
• PAYMENT INFORMATION:
Contact me directly for credit card or bank draft information
I am mailing a contribution to you today
Expect to receive my periodic payment(s) (no invoices will be
sent.)
Other instructions. (See Comments section below.)
• COMMENTS:
IMPORTANT: Do NOT send credit card or bank account numbers
at this time. We will contact you directly for such information,
if required.
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