Diocese of Springfield in Illinois

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Welcome to the general payment processing page for the Office of Youth and Young Adult Ministry. Please enter the total amount you wish to pay and then select the activity that you are wanting to apply the payment towards. If you have comments about your payment, or selected the “Other Event Registration” option, please use the space below the drop-down field for further explanation.

Donation Amount

Choose A Frequency

Recurring Frequency:

Activities: *

Comments or
Payment Instructions:

Donor Details

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Donor Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *