Fill out and submit the form below, then use our secure Online Giving Site to pay from your checking account or credit card, or print a hard copy of the form and return it to the rectory or place it in the collection basket with your payment.

 

Number of subscriptions for purchaser. X $20 =

              Number of Gift Subscriptions.  X $20 =

                   Total amount you are paying (purchaser + gifts)*

        Payment Method*      Credit Card (see note below)           Check  Check No.

Note: When submitting this form on-line:
1. Fill out the form first, 
2. Use the Online Giving Link to pay from your checking account or credit card. Click on the Online Giving link and use the "Quick Give" option, Than Select  "Monthly 50-50 Annual Subscription" from the "Fund" drop down list.
3. Submit this form

         Purchaser:

Name*
Address*
City, State, Zip*
E-mail
Tel*

          Gift Recipients:

Recipient No 1
Recipient No 2
Recipient No 3
Recipient No 4
Recipient No 5

  * Indicates required field

Use the OnLine Giving Link before submitting this form

Tickets ordered after December 14th can be picked up at the rectory for Christmas delivery.
Annual subscription can be purchased thru January 22, 2012.

Gambling Problem? Call 1-800-GAMBLER

[Donation optional]                                              ID – 54-01-05826                                               RA – 3085-11
Church of the Visitation
Copyright © 2011. All rights reserved.
Revised: December 04, 2011 .