DSA Donations - Roman Catholic Diocese of Lansing

Suggested Installment/Gifts

I/We wish to support the Diocesan Services Appeal with a commitment of:

Amount:

$ 100.00

$ 250.00

$ 500.00

$ 750.00

$ 1,000.00

$ 2,500.00

$ 5,000.00

$ 10,000.00

Other

Designation:

Additional Information

Type of gift:

One-time gift or one-time payment of an existing pledge
To establish a pledge payment schedule

Comment:

Billing Information

Title:

First name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email:

Payment Information

Payment Method:

Credit CardDirect Debit

Cardholder's Name:

Credit Card Number:

Card Type:

Card Expiration:

Card Security Code:

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