Thursday, April 24, 2014
   
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Thank you for choosing to make a donation to Spirit Catholic Radio! Fill out the form below with your information to make your donation. (If you are making a donation in honor of or in memory of someone else, please enter their information in the "Notes" section.) When you are finished, click the submit button to send your information over a secure server.

 

Contact Information

 
 
 
 
 
 
 
 
 
 
 
 


 
 

Pledge Information

 
Total Pledge Amount:
$120 ($10 per month)
$240 ($20 per month)
$360 ($30 per month - $1 per day)
$480 ($40 per month)
$1000
Other: $
 
Payment Option: (Select One)
One Time Monthly Quarterly Semi Annually
 
Total Amount Pledged:


Important! Please note! Payments made by credit card or direct debit will be processed on the 10th or 25th of the month. Please select one. (If no date is chosen, the pledge will be processed on the next processing date, whichever comes first):
10th
25th
 
Does your company match your pledge? [List of matching companies]
Yes - Company Name:
No
 
Perpetual Light Society - automatically have your bank or credit card debited monthly on an ongoing basis. You can change the amount or cancel it at any time.
Challenger Club - donation of $500 or more and a One-Time Payment

Payment Information

 
1. Check/Money Order - We will send you a form to return along with your Thank You in the mail.

2. Automatic Deduction/Payment (A form will be mailed to you for your signature)

Electronic Funds Transfer from: Checking Saving
 
Bank Routing Number:
 
Account Number:
 
Name on Account:
 
Name of Financial Institution:
 

3. Credit Card (No Spaces)
 
Card Type: Visa Mastercard Discover AMEX
 
Card Number:
 
Owner's Name of Card:
 
Expiration Date:
Notes:
 
 
 

(Please click submit one time)


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