Ann's Place, Inc. · Online Donation Form

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Contact Information

Donor Name *

First Name

Last Name

Donor Address *

Address Line 1

Address Line 2

City

State

State/Province

ZIP/Postal Code

Donor Email *

Verify Email *

Phone *

Donation Information

Donation Amount (minimum $10) *

$1,200 - supports 1 client for a year!

$500

$100

$75

$50

Consider becoming a Sustaining Donor to help ensure continuation of Ann’s Place cancer services. Select your schedule below.

Continue donating until - (You may also cancel your gift at any time by writing to info@annsplace.org. Please allow 2 weeks for processing.)

(mm/dd/yyyy)

Ann's Place is pleased to accept donations to celebrate a life, or an individual. *

Is this gift a tribute in Honor or in Memory of someone? We can send someone a card notifying them of your gift.

In Honor

In Memory

Tribute Information

Name of person gift is in Honor/Memory of: *

First Name

Last Name

Would you like us to send a notification letter on your behalf for this gift? *

We will never include the amount donated.

Yes

Dedication Note - This will be shared, exactly as written, with the person we notify about your gift.

Name of person to receive notification

First Name

Last Name

Address for notification letter - Please enter address the way you would want to see it on an envelope. Case, spelling and spacing matter.

Address Line 1

Address Line 2

City

State

State/Province

ZIP/Postal Code

Country

Email - If you would prefer we email them the message about your gift.

Verify Email

Comments

Thank you for helping your neighbors who are facing cancer! Removing the concern of finances when reaching out for help makes their journey a little easier.

Add 3% to my total amount to help cover the payment processing fees