Thank you for remembering St. Pius X Church
through your support. Please provide the following information so
that we can be sure to apply the funds to meet your intention.
Your name
Intent of Donation
If Other or In
the name of is selected as
the fund, please let us know how you wish
the money to be applied:
If you are a registered parishioner and this donation is to be applied
to your contribution record, please give us your date of birth
and/or envelope number.
Date of Birth
mm/dd/yy
Envelope Number
Special Requests:
Please enter an e-mail
address where we may contact you if there are any questions about this
form.
(If no e-mail address is provided
and we have a problem with this form, we will not be able to process the
transaction or let you know that the transaction has failed.)
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