Society of Saint Vincent de Paul

Part 1

Name of conference or council sending funds:

Conference or council city:

Contact Person:

Contact person's email address:

Part 2

Name of twinned conference or council receiving funds or name of project:

City:

Country

Part 3

The amount is for:

One Instalment

Two Instalments

Three Instalments

Four Instalments

If you send an amount for more than one instalment, we will divide the funds by the number of instalments entered.

Amount:

Processing fees: Please add the processing fee as indicated below to your amount as required.
Types of payment available:
       Direct Debit ($25 per year) - Preferred payment method
       Credit Card ($25 per year)
       E-transfert ($25 per year)
       Cheque ( $50 per year)

Organization's registration number:

1324 10671 RR0001

Time remaining in your session: 15