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Contact Information
Name
*
Prefix
First Name
Last Name
Suffix
Organization
Email
*
Verify Email
*
Phone
*
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Donation
Amount
*
$1,000
-
Become a member of St. Benedict's Circle
$100
-
Become a member of St. Scholastica's Circle
$50
-
Become a Friend
$30
-
Become a Friend: Student or Low Income
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Is this gift in honor or memory of someone?
No
Yes
Name of person gift is being made in honor or memory of:
Prefix
First Name
Last Name
Suffix
Note
Anything else you would like the office to know.