DSA 2022 - Donation Pledge Form - Diocese of Palm Beach

2022 Diocesan Services Appeal

Make a Pledge or click here if you wish to make a one-time gift or make a payment on an existing pledge.

Use this donation form to make a new pledge for the 2022 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 561-775-9526.

All 2022 pledges must conclude as of 12/31/2022.

Donation Information

Amount:

$156.25/mo. for 12 months

$ 1,875.00

$78.00/mo. for 12 months

$ 936.00

$37.50/mo. for 12 months ($1.25 a Day)

$ 450.00

$12.50/mo. for 12 months

$ 150.00

Other

Designation:

Additional Pledge Information

Pledge Details:

Enter 12 below

Number of Payments (12):

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:

Payment Information

Cardholder's Name:

Credit Card Number:

Card Type:

Card Expiration:

Card Security Code:

Additional Security

This is a security measure to help prevent fraud.