Name of the person submitting this payment.
Name of the of the person or organization making the payment. If none, then please type in "N/A" for not applicable.
For example: Payment for an event. Be sure to specify the event name and date.
If this is for an event, please list the name or names of the participants. If not applicable. then please type in "N/A".
Please fill in the specifics for this payment or any additional information needed for proper processing. You can also use this part of the form to write a message to the diocesan office about anything regarding this payment.