Rejoice In Hope Sponsor : Annual Fundraiser : How to Help : Pilgrim Center of Hope, Inc.

Sponsorship Level

You may list my sponsorship on the event website.

Company/Organization Name

Clergy/Religious Title

If applies

Name

First Name *

Last Name *

Suffix

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Daytime Phone

Phone Type

Country

Mailing State/Province

Mailing City

Mailing Street

Number & Street (or PO Box) Only

Mailing ZIP/Postal Code

Church (San Antonio Archdiocese)

If not listed here, use "Other" option at the bottom.

Other Church

If outside San Antonio, include church name & city.

If you do not attend a church, type "None".

Select a Payment Method

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover

Expiration Date

Security Code

Billing Zip Code

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} to cover the cost of this transaction.

Cover the fee associated with this online transaction?

Account Holder

First Name

Last Name

Account Type

Account Number

Routing Number

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged