Donation Form

Name _________________________________________________________

Address _______________________________________________________

City __________________________           State ____      Zip Code _______

Telephone Number ______________________________________________

Email Address __________________________________________________

I would like to contribute:   __$10    __$25    __$50    __$100   __  Other____

My gift is in Memory of:_________________
My gift is in Honor of:_________________

Please make your check payable to Sisters of Saint Joseph and mail it with this form to:

Attn: Marilyn Peterson
Sisters of Saint Joseph
10324 Main Street
Clarence, NY 14031

Thank you for your generosity.

Sisters of Saint Joseph
10324 Main Street
Clarence, NY 14031
Phone: (716) 759-6454 x20
mpeterson@ssjbuffalo.org

www.ssjbuffalo.org