Douglass Community Services

Online Donations

Thank you for considering an online donation to the Douglass Community Services. Douglass Community Services accepts donations in the form of cash, check, and other forms of payment. This page is able to securely accept donations by direct debit. If you wish to explore the other options available, please contact the Douglass Community Services office at (573) 221-3892. Our online pledging is fast, easy, safe and secure. The information you are submitting will be encrypted and sent to HNB Bank.

Personal Information

Pledge

First Name:
MI:
Last Name:
Home Phone:
Daytime Phone:
Employer:

Address:
City:
State:
Zip:
E-mail:

I pledge the amount of:

	$15		$150
	$20		$250
	$25		$500
	$50		$1000
	$100
	Other

Make a donation via Direct Debit

Please Enter Your Bank Information:

Financial Institution Name:
ABA/Routing Number:
Account Number:
Checking Savings

(The ABA/Routing number is the 9-digit number located in the bottom left-hand corner of your check, just prior to your account number.)

Program To Donate To

Please direct this gift to:
	Head Start and Early Head Start
	Healthy Families Project
	Court Appointed Special Advocate (CASA)
	Retired & Senior Volunteer Program (RSVP)
	Kids in Motion (KIM)
*All donations exceeding membership fees are tax-deductible.

Comments:

Please review your information carefully. If it is all correct, you may send it by selecting Submit. When you submit this form, your information will be securely transmitted to HNB Bank. Thank you for supporting Douglass Community Services.