The Catholic Diocese of Bismarck, North Dakota : Gifting Opportunities

Items in italic are required.

Purpose

Gift Type		one time gift pledge payment new pledge total pledge amount: Balance to be paid on: (If you would like to make monthly payments, please indicate below the months you prefer.)

Amount Paid Now

First Name

Last Name

Address

City

State

Zip

Phone

Email

Parish Name

Payment Method		credit card checking account bill me

Card Type

Card Number

Expiration Date

V-Code

Name on Card

Bank Name

Account Type		checking savings

Account #

Routing Number
		Where can I find these numbers?

Gift to be taken out:		5th of month 20th of month

Questions/Comments

The official site of the Diocese of Bismarck, North Dakota