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Secure Online Donation Form

When you have completed the form, you will have the option to submit the form directly to Sisters of Charity, BVM or to print the form and mail to us.

Please note that fields with an asterisk (*) are required. You can use Visa, Mastercard or Discover with this form. American Express is not accepted at this time.

Title:
* First Name:
* Last Name:
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Apt/Floor/Suite #:
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* State:
* Zip Code:
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* Email:
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Please pray for me/us on our special event(s):

Date	Event (i.e. Birthday, Anniversary, Other)
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Your donation:

*Amount:
$35	$50	$100
$250	$500	Other $

If your employer offers a matching gift program, please send form to:

Office of Development
Sisters of Charity, BVM
1100 Carmel Drive
Dubuque, Iowa 52003-7991

*Please use my gift for:

In Memory of:
In Honor of:

	I have included the Sisters of Charity, BVM in my estate plans.
	Please send me information about including the Sisters of Charity in my estate plans.

Please review that all of the above information is correct before submitting this information. You will receive an e-mail confirmation.

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Donate Now

Secure Online Donation Form

Please pray for me/us on our special event(s):

Your donation:

*Please use my gift for: