Special Pre-Authorized Debit Donations

Parishioner Information
Name
First Last
Envelope #
Address
Street Address City Province Postal Code
Email
Phone
Payment Option
My regular donations are debited in my:
- Bank
- Credit Card
Payment Date:
- 1st of the month
- 15th of the month
Special Donations Amount & Frequency Instructions
(No Regular Donations)
Jan. | Solemnity of Mary
Feb. | Together in Action
Apr. | Holy Thursday
Apr. | Good Friday
Apr. | Easter Offering
May | Pope Pastoral Works
July 1 | Together in Action
Sept. | Together in Action
Sept. | Come to the Table
Oct. | Catholic Education Sunday
Nov. | Evangelization of Nations
Nov. | Together in Action
Dec. | Christmas Offerings
Dec. | Mission Mexico
Dec. | Christmas Hampers
Consent
I already authorized Holy Spirit Parish to process debits for Regular Donations.
Consent(Required)
I authorize Holy Spirit Parish to debit my bank or credit card as per my selections marked above; I understand that I can change or cancel.
Signature
Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Parishioner Information