Checking Account Donation​

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 _____________________________

Address ______________________________________________________________________

Email ______________________________________ Phone____________________________

For Automatic Bank Withdrawal: Mail this form with Void check to:
​
Catholic Coalition for Church Reform
13321 Commonwealth Dr 
Burnsville, MN 55337

As an alternative to mailing this form, you can send an email to cccrcob@gmail.com and provide us your name and phone number. We will contact you by phone to collect the donation information.