Print This Form and Mail or Fax Your Gift

Your tax-deductible donation today will make a difference!  As one of the nation’s most efficient nonprofits, 91 cents of every dollar you give goes straight to programs that reduce poverty, bring food and comfort to those less fortunate, aid people with disabilities, uplift our youth and assist our elderly neighbors.

To make your gift, please print and fill out this form, mail it (with your check, money order, or credit card information) to:

Catholic Charities Diocese of Brooklyn & Queens
191 Joralemon Street, 12 FL
Brooklyn, NY 11201

For more information contact the Office of Development at:



I would like to support Catholic Charities Brooklyn and Queens' efforts to promote unity among all people by developing caring communities.

I would like to contribute: $ ______________________ [U.S. currency] Name _______________________________________________________________ Address ____________________________________________________________ City ___________________ State/Province ________ Zip __________ Country ________________ Email ___________________________________ For credit card donation, please provide this additional information: Name (as it appears on card) _______________________________________ Credit Card Number _________________________________________________ Expiration Date __________ (MM/YY) Credit Card (circle one) AMEX | VISA | M/C | DISCOVER Signature ________________________________ To make your donation above in memory of, or in honor of, someone special, please fill out the below: In memory of / honor of (please circle one): _______________________ I would like Catholic Charities Brooklyn and Queens to send a card to the Honoree above to
notify them I have made a donation in their name. Name _______________________________________________________________ Address ____________________________________________________________ City ___________________ State/Province ________ Zip __________ Country ________________ ____ Please send me information on becoming a Power of Faith Monthly Donor.