First Name*
Last Name*
Primary Phone Number (XXX-XXX-XXXX)*
Street Address*
Email
City
Zip Code


3 Giving Options:
Please Select One Giving Option*
Please indicate the $ amount of your TOTAL annual gift for year.*
Would you like your gift to be made:
Please choose 1 of the 4 methods below ONLY if you chose the option "CHANGE MY METHOD OF GIVING."
If you chose INCREASE or CONTINUE, move to the end and click the "Submit" button.
1) Electronic Funds Transfer (EFT):
If you choose EFT, Pax Christi will contact you for your Bank information. This authority will commence upon receipt and will remain in effect until you notify Pax Christi to change or cancel it.
Deduct this amount on the 5th day of each month
Deduct this amount on the 20th day of each month
2) Credit Card:
If you choose Credit Card, Pax Christi will contact you for your Credit Card information. This authority will commence upon receipt and will remain in effect until you notify Pax Christi to change or cancel it.
How Often?
If you chose MONTHLY, indicate what date you would like your Credit Card charged.
3) Contribution Envelopes Sent Bi-Monthly:
Please Select One
4) Automatic Bill Pay, Gift of Charitable Funds, Stock, Other:
Please describe
Please use this space for any comments, concerns, or requests you have. If you have questions, contact the parish office, 952-941-3150.