Fr. Cedric Ministries Donation Form
Give By Credit Card

(Please enter your credit card statement’s billing address)
Card Type

Cardholder's First Name*

Cardholder's Last Name*

Credit Card Number*

Exp Date*
(e.g.: 05/2019)
Cardholder's Billing Street Address*

Billing City*

Billing State*
(2-digit state code)
Billing Zip Code*

Billing Country*
(2-digit country code)

Company Name (If Applicable):
Phone:* ###-###-#### numbers only

Amount of Donation* $

 I would like to become an automatic Monthly Partner 

New Monthly Partners receive a "Live With Passion!" Travel Mug

Additional Comments

Select "Yes" to receive a "Live With Passion!" Travel Mug with your donation (of $25 or more)
Yes! Please send me the "Live With Passion!" Travel Mug      No Thank You
Your donation is greatly appreciated, Thank You!

Please click "submit" only once so as not to be charged twice.