Membership Renewal – St. Vincent Meals on Wheels

JOIN OUR BAND OF ANGELS!

Thank you for committing yourself to the mission of Cuisine: to change the lives of homebound seniors every day through volunteerism and fundraising

Your Email*
We will also send you a receipt to your email address provided.
Membership*
- The Breakfast Club - $475.00
- Let’s Do Lunch - $1,000.00
- Supper Club - $1,500.00
- Active Membership - $250.00
Your Birthday
Month and Day ONLY
PaywithCC
- Pay with Credit Card
Billing Name*
First Last
Billing Address*
Must match the cardholder's address

Street Address Address Line 2 City State ZIP Code
Billing Phone Number
The best number to reach you at, in case of any problems with your donation.
Credit Card Information*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
I am paying by Credit Card
- Yes
Name
This field is for validation purposes and should be left unchanged.

ALL MEMBER LEVELS REQUIRE SUPPORT OF CUISINE’S FUND RAISING EFFORTS.

Any questions, please contact Membership Chair, Cathie White @ 323-935-4898 or cathbart@sbcglobal.net