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City, Province, Postal Code REQUIRED Please fill out this field. Please enter valid data.

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Option 1: Visa Mastercard

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Expiry Date (MM/YY) Please enter valid data.

3-digit security code Please enter valid data.

Option 2: Automatic Withdrawal, Please provide Name of Bank and Branch Please enter valid data.

Account Number Please enter valid data.

Please specify the amount you would like directed to each fund:

Please indicate how often you wish to give to the fund(s): Weekly Monthly Annually

Authorization
I authorize St. Gerard’s Catholic Church, 8944 Elbow Drive SW, Calgary, AB to receive the amounts mentioned above from my Master Card or Visa or by Direct Debit in installments as specified above. I understand that I can change or delete my donation amount at any time with written confirmation to the Parish Staff. I understand that I must allow at least 2 weeks to allow these changes to be applied.

I Agree Please select this field.

Date (DD/MM/YY) REQUIRED Please fill out this field. Please enter valid data.

St. Gerard's

Calgary, Alberta, Canada

Donate

St. Gerard's Parish Direct Debit Authorization Form