Capuchin Franciscan Friars
Capuchin Franciscan Friars
Secure Server Contribution Form
Thank you for your interest in donating to Capuchin Franciscan Friars.
Please note that all fields marked with a red asterisk (
*
) are required.
Title
*
Mr.
Ms.
Mrs.
Miss
Mr. and Mrs.
Dr.
First Name
*
Last Name
*
Company
Address
*
Address
City
*
State/Provence
*
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
D.C.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal
*
Country
Phone Number
*
Email address
Please add me to your mailing list
Yes
No
Donation Amount
*
$5
$10
$15
$25
$50
Other - use box
$
We accept:
Visa, Mastercard, Discover
Card Number
*
Expiration Date
*
January
February
March
April
May
June
July
August
September
October
November
December
/
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Use my gift for
*
General Fund
Missions
Formation
Prayer Cards
Memorial/Healing Folders
Prayer Intentions
Capital Campaign
Comments:
Capuchin Franciscan Friars is an IRS-recognized 501(c)(3) non-profit organization. Charitable contributions are tax deductible to the fullest extent allowed by law. Your personal information will be kept completely confidential and will not be shared with any third-party except those necessary to complete the transactions authorized on this form.
Please ensure that all above information is correct and click "give now" only
once
.
Multiple clicks may result in your donation being processed through several times.
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
Capuchin Franciscan Friars
Province of the Stigmata
Office of Development and Missionary Activities
319 36th Street
PO Box 839
Union City, NJ 07087
Phone: 201-863-4036
Fax: 201-863-4428
Email click
here
Untitled Page