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DONATION INFORMATION
Payment Options:
$15/Monthly
$180/Yearly
Start my donation on:
*
January
February
March
April
May
June
July
August
September
October
November
December
1st
2nd
3rd
4th
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17th
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19th
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22nd
23rd
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25th
26th
27th
28th
29th
30th
31st
2023
2024
MAKE MY GIFT TOWARD A CENTER
*
-- Please Select --
Area of Greatest Need
Bangor, ME
Boston-North, MA
Bridgeport, CT
Burlington, NJ
Canton, OH
Central Massachusetts
Central New York
Central Pennsylvania
Cincinnati, OH
Cleveland, OH
Columbus, OH
Dayton, OH
East Central Illinois
Great Lakes, MI
Greater Boston, MA
Hartford Area, CT
Hasbrouck Heights, NJ
Indianapolis, IN
Lancaster, PA
Lehigh Valley, PA
Madison Area, WI
Marketplace
Membership
Metropolitan Chicago
Milwaukee, WI
Nashua, NH
Northfield, NJ
Northwest Illinois
Norwood, OH
Pittsburgh, PA
Portland, ME
Reading, PA
Rhode Island
Rochester, NY
Scotch Plains, NJ
Seacoast, NH
Southeastern Michigan
Southeastern Ohio
Southern Illinois
Springfield, IL
Tenafly, NJ
Upper Wisconsin-Eau Claire
Upper Wisconsin-Superior
Waterbury, CT
Western Pennsylvania
GIFT TYPE
Is this gift a tribute?
Yes
No
Type of tribute?
Please Select One
Memorial Gift
Honor Gift
Name of whom your gift is in memory/honor of:
PAYMENT INFORMATION
*
Credit Card or
Check/Debit
Card
Bank Account Transfer
(ACH)
Card Number
Security Code
(CVV2)
Expiration Date
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Account Type
(U.S. Banks Only)
Checking
Savings
Account Number
Routing Number
YOUR INFORMATION
First Name
*
Last Name
*
Company
Title/Position
Billing Address
*
City
*
State
*
AL
AK
AS
AA
AE
AP
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip
*
U.S. Phone
(
)
-
Email
*
Notes
500
characters left
All donations provided to
Scottish Rite Charities
comply with U.S.
laws and regulations.