To make a checking account donation, select the content of this page, copy it, paste it into your document processor (Word?) and then print the copy. Fill out that copy of the form and mail it to the address provided below.
I want to support
Catholic Coalition for Church Reform / Council of the Baptized
___ Monthly Contribution amount $_______________
___ One time contribution amount $_______________
___ No contribution at this time, but I support the work of CCCR and CoB
Print Name ______________________________ Signature _____________________________
Email ______________________________________ Phone____________________________
For Automatic Bank Withdrawal: Mail this form with Void check to:
Catholic Coalition for Church Reform
PO Box 6525
Minneapolis, MN 55406
As an alternative to mailing this form, you can send an email to email@example.com and provide us your name and phone number. We will contact you by phone to collect the donation information.