DSA 2023 - Donation Pledge Form - Diocese of Palm Beach

2023 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 2023 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 2023 pledges must conclude as of 12/31/2023.

Donation Information

Amount:

$1111.12/mo. for 9 months

$ 10,000.08

$555.56/mo. for 9 months

$ 5,000.04

$277.78/mo. for 9 months

$ 2,500.02

$111.12/mo. for 9 months

$ 1,000.08

$55.56/mo. for 9 months

$ 500.04

$27.78/mo. for 9 months

$ 250.02

$11.12/mo. for 9 months

$ 100.08

Other

Designation:

Additional Pledge Information

Pledge Details:

NOTE: If payments begin in April, enter 9 in the space below. If payments are to begin in May, enter 8 in the space below and your monthly pledge will be automatically adjusted to 8 monthly payments. All payments must conclude as of 12/31/2023.

Number of Payments:

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.