Use the following form to indicate the amount you wish to contribute each month from your checking or credit/debit card account. Fill it out on screen. When you have completed the form, print it.
Pay by credit/debit card: If you wish for us to deduct money from the credit/debit card account each month, simply send the printed form to us.
Pay by check: If you wish for us to deduct money from your checking account each month, write the first check on that account and mail it with this form. We will then deduct the same amount from your checking account on a monthly basis.
Please complete, print, and mail this form to:
Alternatively, you could FAX the form to our office along with a FAX of your voided check.
Or print, scan and email the form to along with a scan of your voided check.
Our policy is to protect our donors’ confidential information. We will not sell or trade a donor’s personal information to any other entity in existence without the written permission of the donor.