Shalom Farms, Inc. · General Donation Form

Amount

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$25

$50

$100

$250

$500

$

Give the gift of fresh produce all year long - make a recurring donation!

I'm making this gift on behalf of

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Myself

A Group/Organization/Business

Your Name

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First Name

Last Name

Spouse/Partner Name

First Name

Last Name

Your Email

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Verify Email

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Your Mailing Address

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Address Line 1

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City

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Your Phone

Group/Organization/Business Name

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Group/Organization/Business Email

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Group/Organization/Business Website

Group/Organization/Business Mailing Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Group/Organization/Business Phone

Gift in Honor / in Memory

Is this gift a tribute?

Yes - In honor of someone

Yes - In memory of someone

Who is this gift in honor or memory of?

Notification of Tribute Gift

If you're making a gift in honor or memory of someone, we're happy to send a notification to that person or their family. Simply include their name, email or address below and we'll take care of the rest.

Send Tribute Notification To:

First Name

Last Name

Email Tribute Notification To:

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Mail Tribute Notification To:

Address Line 1

Address Line 2

City

State/Province

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Gift Notes

Anything you'd like us to know about this gift?

How did you hear about our organization?

Have you volunteered with Shalom Farms before?