Chaddock Online Contribution Form
Online Donations
  

Cornerstone accepts donations in the form of cash, check, payroll deduction, and other forms of payment. This page is able to securely accept donations by credit card and direct debit. If you wish to explore the other options available, please contact the Cornerstone office at (217) 222-8254 or e-mail us. Our on-line pledging is fast, easy, safe and secure. The information you are submitting will be encrypted and sent to Mercantile Bank.
Personal Information
Pledge
First Name: 
MI:
Last Name: 
Home Phone:
Daytime Phone:
Employer: 
Address:
City: 
State: 
Zip: 
E-mail:
Please contact me with information about volunteering.
 Please contact me about planned giving.
Please contact me about leaving Cornerstone in my will and gifts of securities.

  I pledge the amount of:

$25 $250
$50 $500
$100 $1000
Other

 
Make a donation via Payroll Deduction
Direct Debit Information

Please Enter Your Bank Information:

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

(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.)
Special Instructions, Honors, and Memorials
Please Direct this Gift to:
Cornerstone Operating Fund
Adoption Preservation Fund
Healthy Families and Parenting Teen Program
Gifts to Cornerstone may be given as living honors or memorials. Cornerstone shares information about living honor and memorial gifts with the individual being recognized or with the family of a deceased person being memorialized. The amount of the gift is not shared.
Please make my gift: Person to Acknowledge:
In Memory of: Name:
Name:
Street:
In Living Honor of: City:
Name:
State: Zip Code:
Occasion:
   
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 Mercantile Bank. For more information, call Executive Director, John Hirner at (217) 222-8254.