Remembrance Form

Remembrance Gift Mail-In Form

Instructions:
1. Fill in the form on screen. If you make a mistake click on the reset button to start over.
2. Choose your method of payment: check or credit card
3. When you are finished, click the Print button.
4. Mail the completed form (with your check, if applicable) to:

Sisters of the Holy Cross
Development Office – Saint Mary’s
407 Bertrand Hall
Notre Dame, Indiana 46556-5000

5. You will receive a confirmation and receipt by mail.

Donor Information:
Title:
First Name:
Last Name:
Middle Initial:
Address 1:
Address 2:
City:
State/Province:
Zip Code:
Country:
Daytime Phone:
E-mail:
Your name as it should appear on the card:
Amount enclosed:


Method of payment:
Check payable to "Sisters of the Holy Cross"
Credit Card (check one)
	Visa	MasterCard	American Express
	Discover	Diner's Club
Credit Card #:
Expiration Date:
Name as it appears on Card:
SIGNATURE:		_________________________________

I wish to designate my gift for:
Choose a fund:


Type of Card:	Name of Person(s) Being Remembered and Brief Details of Occasion:
Christmas
Mother’s Day
Father’s Day
Birthday
Anniversary
Jubilee
Get well wishes
In memory of
Other

Send Remembrance Card To (Recipient Information):
Name:
Address:
City, State, Zip:

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Remembrance Gift Mail-In Form

Donor Information:

Method of payment:

I wish to designate my gift for:

Type of Card:

Name of Person(s) Being Remembered and Brief Details of Occasion:

Send Remembrance Card To (Recipient Information):