Your Contact & Billing Information

Billing Information

The Pastoral Institute is a faith-based, non-profit counseling, consultation and education center. Established in 1974, we provide services to individuals, businesses and congregations in the Columbus and LaGrange Georgia and Lanett, Alabama communities. Help us make a difference. Your contribution to one of our funds will make counseling services available to someone in need. Samaritan Fund-allows us to provide services to families and children seeking help. PI Partner Fund-aids in program funding and operational expenses. Please fill out the form below to make a donation by credit card. To direct your donation to a specific fund in Columbus or Lanett, please choose from the pull-down menu.
Title:
First Name:
Middle Name:
Last Name:
Suffix:
Company Name:
	(If this is a company/group donation or company credit card)
Billing Address 1:
Billing Address 2:
City:
State/Province:
Zip/Postal Code:
Country:
Daytime Phone:
	(For US phone numbers, please include area code)
Email Address:
Select a fund from the drop-down list to select it for donation

Select a donation amount fromt the list below (minimum of $25 for online donations)
$25.00 $50.00 $100.00 $500.00 $1,000.00 Other Amount $
One Time Donation Recurring Donation
How frequently would you like to donate?

When would you like the donation to start?


Credit Card Information
Credit Card
Card Number:
Verification Code:	(Not same as PIN code)
Expiration Month:
Expiration Year:

Memorials and Honorariums
This gift is in memory of someone
Name of Person being memorialized:
Please notify the following person of this memorial gift:
Name:
Address:

City:
State:
Zip:
This gift is in honor of someone
Honoree Name:
City:
State:
Zip:

Please make this gift anonymously
How did you hear about the Pastoral Institute?

Your Contact & Billing Information

Billing Information

Credit Card Information

Memorials and Honorariums