Automatic Payment Forms

Checking Account

To have your donation taken from your checking account each month, please download, fill out and mail the following form along with a voided copy of a check.
Checking Account Withdrawal Authorization Form

Credit Card

To have your donation taken from your credit card each month, please download, fill out and return the following form via mail or by fax.
Credit Card Authorization Form

Mailing: RIMI, P.O. Box 688, Round Lake Beach, IL 60073
Physical: RIMI, 1949 Old Elm Road, Lindenhurst, IL 60046
Phone: (847) 265-0630Fax: (847) 265-0642
Email: SLukos@RIMI.orgWebsite: http://www.RIMI.org