Recurring Donation Form

Please complete the form below and click on "Submit" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

 

Recurring Amount*
Frequency*

Salutation
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
Email*
Confirm Email*
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Card Type*
Card Number*
Expiration Month*
Expiration Year*
Card Security Code*

OTHER WAYS TO GIVE:

Give by Phone

517-263-6868


Give by Mail

You can also give by printing this form and mailing to:

The Croswell
129 E. Maumee St. 
Adrian, MI 49221

To make a one-time donation, please use our Single Donation Form located here.