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!

My monthly donation will be:

$15.00 $25.00 $50.00 $75.00 Other ($15.00 minimum)

$(any amount not listed above) $15.00 minimum

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.

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.

I will send a check each month
I prefer to send my monthly donation by check.

No Yes	Would you like us to send a monthly contribution reminder.
No Yes	Would you like to receive a receipt for your donation each month?
No Yes	Would you like to continue receiving mailings from the Association?

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