Sisters of Charity, BVM Mail-In Contribution Form

Please print this form and mail to:
 Office of Development
Sisters of Charity, BVM
1100 Carmel Drive
Dubuque, IA 52003-7991

Please type or print:

Name __________________________________________________
Address __________________________________________________
City/State/Zip __________________________________________________
Telephone __________________________________________________
Email __________________________________________________
Birthday __________________________________________________
As a token of our appreciation for your support, the Sisters would like to
pray for you, by name, on your birthday.
   
Donation Amount $25 $50 $100 $250 $500 Other $_____
   
My gift is enclosed (please make checks payable to the Sisters of Charity, BVM. Your gift is tax deductible as provided by law.)
 
Please charge my credit card: Visa Mastercard
 
Credit Card Number _____________________________ Expiration Date_____________
   
Signature_______________________________________________________________
   
Please us my gift for: Where the need is greatest
  Retirement Fund
  Education and Ministry Fund
  Motherhouse Renovation Project
  Other __________________________________________
 
In Memory of __________________________________________________
 
In Honor of __________________________________________________
 
Comments __________________________________________________
 
__________________________________________________

Thank you for supporting the life and ministries of the Sisters of Charity, BVM.

Diane Brondyke
Director of Development • Sisters of Charity, BVM