Giving Form

The Adrian Dominican Sisters have been ministering to others for more than a century. Our donors provide major support for our life and mission. Please print this form out and send it along with your contribution to: Adrian Dominican Sisters, 1257 East Siena Heights Drive, Adrian, Michigan 49221-1793. Make checks payable to the Adrian Dominican Sisters. Gifts are tax-deductible as specified in the tax code.

Yes! I (we) want to be a part of the life and ministries of the Adrian Dominican Sisters.

Enclosed is my gift of $________________

Name: ________________________________

Address: ______________________________

City/State/Zip: _________________________

Phone: _______________________________

Circle method of payment:

Check --- MasterCard --- Visa

Discover Card --- American Express

Card No: _______________________

Expiration:______________________

Signature:________________________

_____Please send me information about Planned Giving

Please designate this gift to be used for:

____Ministry Trust -- Gift in Living Tribute to/In Honor of:

____Retirement -- Gift In Memory of:

____Dominican Life Center -- Prayer Request:

____Other/Where Needed

Matching gift
Company__________________Please notify the following that this gift has been given:

Name__________________________________

Address________________________________

City/State/Zip___________________________