Sisters of Saint Mary of Namur - Contribution Form

 

To donate by mail: Complete and return this form.

             

Please use my gift for:                                                                       Amount

 

Sisters of St. Mary of Namur                                                  $________________

 

Sisters of St. Mary of Namur Africa-Brazil              $________________

 

Donor Information:

Name: ________________________________________________________________

 

Address: _____________________________________________________________

 

City, State, Zip:________________________________________________________

 

Email :______________________________________

Phone:______________________________________

 

Optional:

This gift is made (please print name):

In Memory Of:_______________________________________________________

In Honor Of:   _______________________________________________________

 

Please send notification of this gift to:

Name:

            _______________________________________________________

Address:

            _______________________________________________________

City, State, Zip

         _______________________________________________________

 

Please make check payable to Sisters of St. Mary of Namur.

Mail this form and your gift to:

 

Sisters of St. Mary of Namur

909 West Shaw St.

Fort Worth, TX 76110

 

Thank you for your generous gift!