Warning: count(): Parameter must be an array or an object that implements Countable in /var/www/vhosts/maryknollaffiliates.org/httpdocs/components/com_k2/models/item.php on line 763
Friday, 27 November 2015 12:00

Fall 2015 Appeal Form

Written by Dave Schaffner
Rate this item
(0 votes)

Maryknoll Affiliate Fall 2015 Appeal – 4014

 Please complete the appropriate section and return the form in the envelope provided to:

Maryknoll Fathers and Brothers, PO Box 302, Maryknoll NY 10545-0302

Text Box: 	ONE TIME DONATION
Please make check payable to the Maryknoll Fathers and Brothers and write Maryknoll Affiliates Annual Appeal in the memo line of your check.

Contribution from: ________________________________________  Date: _________________________

Address: ________________________________________________

 City: ______________________ State: ___________ Zip/Postal Code: ____________ Country: _______________

 Amount: o $25 o $50 o $100 o $200 o Other $__________

 Credit Card: o VISA o MasterCard American Express Discover

 Name as it appears on card: _________________________________________________________

 Card# ___________________________________________________ Expiration Date ___________

Text Box: 	MARYKNOLL MISSION DIRECT AUTHORIZATION FORM FOR  CREDIT/DEBIT CARD USERS:
You can have donations directly charged to a debit card or credit card or debited from your checking account on a monthly, bimonthly, quarterly, semi-annual or annual basis.

o YES! I would like to make regular automatic transfers to Maryknoll for the Maryknoll Affiliates 4014 Mission Account using my credit or debit card in the amount of $ __________. Should I decide to cancel, I will call Maryknoll. I understand that my donations will be recorded on my statement, which will serve as my receipt.

Debit date is either the 5th or 12th day of the month. Please circle one: 5th or 12th

Your full signature is required here: _______________________________________________________

Please check the giving option you prefer: o Monthly o Bimonthly o Quarterly o Semi-Annually

o Annually

Name as it appears on card: ________________________________________________________

Address: ________________________________________________

City ____________________________ State _________________

Zip/Postal Code: __________________ Country: ________________

o VISA MasterCard o American Express o Discover    Card # ____________________________________

Expiration Date ________________

Text Box: 	MARYKNOLL MISSION DIRECT AUTHORIZATION FORM FOR  PERSONAL CHECK USERS:
I would like to enroll!*

o YES! I would like to make an automatic transfer from my bank account to Maryknoll for the Maryknoll Affiliates 4014 Mission Account in the amount of $ __________. Should I decide to cancel, I will call Maryknoll. I understand that my donations will be recorded on my bank statement, which will serve as my receipt.

Debit date is either the 5th or 12th day of the month. Please circle one: 5th or 12th

Your full signature is required here: ______________________________________________________

Please include voided check along with your donation.

Please check the giving option you prefer: o Monthly o Bimonthly o Quarterly o Semi-Annually

o Annually

Name: __________________________________________________

Address: ________________________________________________

City ____________________________ State ___________________

Zip/Postal Code _________________________  Country: _______________________________

Text Box: Can’t give at this time or would you like to help in other ways?
There are many other ways you can help out.
If you would like to volunteer time and talent, whether you give financially or not, please fill out this portion of the form. You can also email Fred at This email address is being protected from spambots. You need JavaScript enabled to view it. or call 877-897-2386. Please check any ways in which you would be willing to help.

o Through prayer                                                                                                                          Help edit Not So Far Afield

o Write articles for Not So Far Afield                                                                               o Any other volunteer work as needed

o Help translate from and to Spanish for our newsletter, web or other documents

o Help update the Maryknoll Affiliate website (articles, news, links, other items of interest)

THANK YOU!

Maryknoll Affiliates

 PO Box 311

 Maryknoll NY 10545-0311

www.maryknollaffiliates.org

 


Warning: count(): Parameter must be an array or an object that implements Countable in /var/www/vhosts/maryknollaffiliates.org/httpdocs/components/com_k2/templates/default/item.php on line 248
Read 1381 times Last modified on Monday, 30 November 2015 01:36
Login to post comments