PASCHA
DONATIONS
FORM
Make a donation in support of all of our Pascha needs in order to provide a joyous
and memorable f
east for the boys at St. Innocent Orphanage.
Donation Information
Amount
$15
$25
$50
$100
Gift Notes & Specifications
Complete the following fields if this gift is a tribute.
(optional)
Type of Tribute
In Memory Of
In Honor Of
Tribute Name
Title
First Name
Last Name
Address
Address 2
City
State/Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
Arizona
Arkansas
Armed Forces Americas
Armed Forces Other
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip/Postal Code
Email
Donor Contact Information
If the donation is being made with a business/church credit card, please provide all company-specific information in the fields below.
Business/Church Name
First Name
Last Name
Address
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
Email
Your entry is not a valid email address!
Select Your Communication Preferences
PLEASE SELECT ONE OF THE COMMUNICATION OPTIONS BELOW TO RECEIVE THE TYPE OF INFORMATION YOU WANT IN THE FORMAT YOU DESIRE. BELOW IS A DESCRIPTION OF THE OPTIONS:
Option 01: All Electronic
Option 02: Both electronic & paper
Option 03: Only paper correspondence
Option 04: No additional correspondence
Option 01: I want all my correspondence with Project Mexico to be ELECTRONIC, including news updates and newsletters. By doing so, I am choosing to opt-out of paper mailings.
Option 02: I want to receive BOTH ELECTRONIC AND PAPER correspondences from Project Mexico, including electronic news updates and newsletters, as well as mailed paper newsletters.
Option 03: I want to receive ONLY PAPER correspondence from Project Mexico. I do not want to receive electronic news updates.
Option 04: I have provided my email but do NOT want to receive any correspondence from Project Mexico, either by email or paper. I understand that I will however, still receive Email Donation Confirmations and occasional important Executive Director Messages.
Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to Project Mexico of the Orthodox Church and I will donate $0.00.
No. I will donate $0.00 and Project Mexico of the Orthodox Church will cover the processing costs.
Credit Card Holder Information
Card Holder Name
Visa
MasterCard
Discover
Card Account Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
24
25
26
27
28
29
30
31
32
33
34
Security Code
Credit Card Billing Address
Same As Above
Address
City
State/Province
Zip/Postal Code
Email
Your entry is not a valid email address!
Next
IMPORTANT NOTES:
Your personal information and email address will be used solely by Project Mexico & St. Innocent Orphanage and it will never be sold or shared without the express written permission of the donor.
The email address you provide here will override the one(s) we currently have on file.
Every donor, regardless of their communication preference listed above will receive a paper annual donation statement in the mail.
P
roject Mexico & St. Innocent Orphanage
PO Box 120028, Chula Vista, CA
91912 ~ 619-426
-4610
[email protected]
Tax ID #:
33-0521448
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