m Please transfer my monthly gifts from my checking account. ... routing numbers for my account. ... Please enroll me in
Give a Dream —Monthly Giving Program Enrollment Form m
Give a Dream —Monthly Giving Program
YES!
Please enroll me in for Soroptimist International of the America’s Give A Dream—Monthly Giving Program!
The Give A Dream—Monthly Giving Program is a way for Soroptimists to share in the commitment to improve the lives of women and girls. Your monthly contributions will become a steady and reliable source of funding to empower women and girls to live their dreams. Your gifts will go even further because paperwork is reduced and your gift is put to work immediately to help women who are served by the Soroptimist mission.
Donor’s Name
Easy and Reliable
Country
Daytime Phone Address City
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When you participate in monthly giving, your gift will be transferred conveniently each month from your checking account or credit card directly to Soroptimist. A record of each gift will appear on your monthly bank or credit card statement. You may increase, decrease or suspend your contribution at any time by contacting us at 215-8939000,
[email protected], or by mailing to 1709 Spruce Street, Philadelphia, PA 19103-6103. All gifts provided to Soroptimist originating as ACH transactions comply with U.S. law.
Member Number
Zip/Postal Code
Email Address
Monthly gift amount of US$: m $125 m $100 m other US$ On the:
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State
5th or
m $50
m $25
20th of each month
Please transfer my monthly gifts from my checking account. Enclosed is a voided check that shows the account and routing numbers for my account. I understand my future gifts will be transferred directly from my account.
OR
Recognizing Your Commitment Once enrolled, your name will be recognized with other monthly donors on our website. Your donations will contribute to your Laurel Society membership allowing you to increase your level and recognition quickly and easily.
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Here is my credit card information. Please transfer my monthly gifts from my credit card. I understand my future gifts will be transferred directly from my credit card.
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VISA
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MasterCard
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American Express
Card Number Expiration Date Cardholder's Name (please print)
Signature (Required for credit card and check donations) Date Improving the lives of women and girls, in local communities and throughout the world. www.soroptimist.org N www.liveyourdream.org
Return to: Soroptimist International of the Americas 1709 Spruce Street Philadelphia, PA 19103-6103 U.S.A. Fax: (215) 893-5200
