Friends Form for Personal Checks

Kindly print this form and then mail it to:

Friends of St. Paisius Monastery

P.O. Box 1075, Safford, Arizona 85548

I will send St. Paisius Monastery a donation every:

Frequency (check one): _____Monthly;   _____Bi-Monthly;   _____Quarterly;   _____Annually

Amount:  $__________________

Name:_____________________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

___________________________________________________________________________________________________________

Email:________________________________________________________

Phone: _______________________________________________________