Make your donation by printing out this form
and faxing it to 410-243-9824
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Name ____________________________________________________________
Address____________________________________________________________
____________________________________________________________
City____________________________________________________________
State____________________________________________________________
Zip Code____________________________________________________________
Phone____________________________________________________________
E-Mail____________________________________________________________

Jurisdiction/Affiliation

Albanian Orthodox Diocese of America
American Carpatho-Russian Orthodox Greek Cath. Diocese - U.S.A.
Antiochan Orthodox Christian Archdiocese of North America
Bulgarian Eastern Orthodox Church
Greek Orthodox Archdiocese of the United States
Greek Orthodox Church in Canada
Orthodox Church in America
Romanian Orthodox Missionary Archdiocese in America and Canada
Russian Orthodox Church - Moscow Patriarchate
Serbian Orthodox Church in America
Ukrainian Orthodox Church in America
Ukrainian Orthodox Church of Canada
Other

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I hereby authorize International Orthodox Christian Charities
to charge my account for the following amount:
Donation____________________________________________________________
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Card Number____________________________________________________________
Exp. Date____________________________________________________________