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Miraculous Medal
Monthly Giving Program

Your contribution involves you actively in the Association of the Miraculous Medal. You bring Mary's motherly concern to people in need of comfort, care, and instruction. You participate with the Vincentian Family in a real ministry assisting the abandoned poor and their priests here in the United States and worldwide. All of us in the Association appreciate your generous help!

Here are the different ways to make your contribution to the Monthly Giving Program.

My monthly donation will be:
$15.00
$25.00
$50.00
$75.00
$ (any amount not listed above) $15.00 minimum

Select only one of the following options

Automatic Bank Transfer
I prefer to have my donation taken out of my bank account automatically each month. I will send my first contribution by check. Automatic Transfers will begin the following month. My account will be debited on the 10th of each month. (Once you complete this form you will be transferred to our shopping cart where you will click "Check out now." Then select: Order by Check through Postal Mail.)

Credit Card
I prefer to make my first donation by credit card now. Automatic debits to my credit card will begin the following month. My account will be debited on the 10th of each month. (Once you complete this form you will be transferred to our shopping cart where you will click "Check out now." Then select: Order by Credit Card Online.)

I will send a check each month
 I prefer to send my monthly donation by check. (Once you complete this form you will be transferred to our shopping cart where you will click "Check out now." - Then select: Order by Check through Postal Mail.)

Would you like us to send a monthly contribution reminder.  

I understand that I may opt out at anytime by contacting the Association of the Miraculous Medal.

Would you like to receive a receipt for your donation each month?

Would you like to continue receiving mailings from the Association?

Please sign me up for the quarterly emails from Fr. Grodecki.

Your Name and Address:
Title: (Mr., Mrs., Miss, Rev.)
First Name:
Last Name:  Suffix:
How would you like us to address you? ("Dear Pat") Dear  
Email address:
Phone number:
Postal Address:
(second line...)
City: State:    
ZIP/Postal code
Are you already on our mailing list? Yes No
If so, what is your member number? What's this?
(If you don't know or can't find your member number, we can still process your request)

If you experience any difficulties during this process, please call us at 1-800-264-MARY (6279).