Pre-Authorized Donations

• Consider enrolling in Pre-Authorized Donations from you bank account by filling out the form. 
  If you require more information on pre-authorized debit from your bank please contact Lisa DeSena:
  19 336-2653; ldesena@dol.ca

• 

• Pre-Authorized Donation Form

  The maximum number of form submissions has been reached. This form is currently not available.

  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Home Address REQUIRED Please fill out this field. Please enter valid data.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • I authorize the monthly payment of $ REQUIRED Please fill out this field. Please enter valid data.
  • Beginning the Month of REQUIRED Please fill out this field. Please enter valid data.
  • Please choose parish REQUIRED St. Benedict St. Joseph Our Lady of Mercy Please fill out this field.
  • Signature REQUIRED Please fill out this field. Please enter valid data.
  • Date REQUIRED Please fill out this field. Please enter a date.
  • Comments

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