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:

$10000/mo. for 1 month

$ 10,000.00

$5000/mo. for 1 month

$ 5,000.00

$2500/mo. for 1 month

$ 2,500.00

$1000/mo. for 1 month

$ 1,000.00

$500/mo. for 1 month

$ 500.00

$250/mo. for 1 month

$ 250.00

$100/mo. for 1 month

$ 100.00

Other

$

*

Designation:

Additional Pledge Information

Pledge Details:

Your first payment will start today and all payments must conclude as of 12/31/2023.

Number of Payments:

* Installment amount:

Frequency:

Starting: Ending:

Anonymous:

I prefer to make this donation anonymously

Comments:

Appeal Year:

Donor Information

Title:

First name:

*

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Phone:

*

Email:

*

Payment Information

Payment Method:

Credit Card

Direct Debit

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Card Expiration:

/

*

Card Security Code:

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