DSA 2017 - Donation Pledge Form - Diocese of Palm Beach

2017 Diocesan Services Appeal - Make a Pledge

Use this donation form to make a new pledge for the 2017 Diocesan Services Appeal. If you would like to schedule a credit card pledge or payment over the phone, or need to change the credit card information that we have on file, please call 561-775-9568.

All 2017 pledges must conclude as of 12/31/2017.

Note: If you wish to make a one-time gift or make a payment on an existing pledge, click here.

Donation Information

Amount:

$100.00/mo. for 10 months

$ 1,000.00

$50.00/mo. for 10 months

$ 500.00

$30.00/mo. for 10 months ($1 a Day)

$ 300.00

$10.00/mo. for 10 months

$ 100.00

Other

Designation:

Additional Pledge Information

Pledge Details:

Setup new 2017 Pledge

Number of Payments (10):

Frequency:

Starting:

Anonymous:

I prefer to make this donation anonymously

Comments:

Appeal Year:

Billing Information

Title:

First name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email: