Printable Mail/Fax Donation Form

Contribute to the Cathedral Church of St. John the Divine by printing the form below and mailing it to:                   

The Cathedral Church of Saint John the Divine
1047 Amsterdam Avenue
New York, NY  10025

Enclosed is my tax-deductible donation made payable to The
Cathedral Church of Saint John the Divine in the amount of:

____ US $35    ____ US $50    ____ US $100  ____ US $200 ____ US $500      

Other (please enter donation amount):_______________                               

If donating by credit card, please provide the following information:

Visa: _________  MasterCard: _________ American Express: _________

Credit Card Number______________________________________

Expiration Date__________________________________________

Name__________________________________________________

Address________________________________________________

City/State/Zip/Country____________________________________

Phone__________________________________________________

Email__________________________________________________

Is this gift in memory of or in honor of someone? If so, please let us know who it
is in honor of and who an acknowledgement should be sent to:

In Memory or In Honor of___________________________________________

Acknowledgement should be sent to:

Name__________________________________________________

Address________________________________________________

City/State/Zip/Country____________________________________

Phone__________________________________________________

Donation From: __________________________________________

WEB07F