Step 1 of 333%Name(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Email(Required) Phone(Required) CHOOSE THE NUMBER OF STATUES5ft Mary Statue Price: Quantity of Statues(Required)If you would like to donate extra please type in your extra donation below (minimum $100) PAYMENT PAGEHow would you like to pay(Required) Cash/Check (PREFERRED) Credit CardIf paying by cash or check please come to the office at your earliest convenience to pay for your total amount. Please let the administrators know your first and last name for the statue(s) you are paying for so that we can ensure they are paid. Please make check out to "Mother of God Chaldean Catholic Church" and in the memo section please place Statue Donation. Thank youIf you would like to help out the church and cover the 3.5% processing fees please check YES below YESCC Processing Fees Price: $0.00 Total Credit CardAmerican ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name
