Please complete this form and mail your check or credit card information to:

Catholic Charities
Diocese of Springfield in Illinois
800 South Fifth Street
Springfield, Illinois 62703

 

Date: _______________________

Enclosed is my check for $ _____________________________________ payable to Catholic Charities.

[ ] Visa [ ] MasterCard Account:_________________________________________ Exp:_____________

Name on Account:____________________________________ Signature:_________________________

Name: _______________________________________________________________________________

Address: ___________________________________ Home phone: ( _____ ) ______________________

City/State/Zip: _________________________________________________________________________

(Receipt will be sent to above address)

Type of Donation (please choose one):

  • General
  • Specific Program (if desired)
  • Memorial of Tribute: please click here for more information

For information on wills and bequests click here.