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Invest Monthly Donation Form
Invest monthly in single-parent families working towards self-sufficiency.
We also welcome your checks if you prefer. See our address at the bottom of the page.
Please select a monthly gift amount:
*
$10
-
Gas
$25
-
Groceries
$50
-
Childcare assistance
$75
-
Emergency rental assistance
$100
-
Scholarships
$
Donation Schedule
Monthly
Continue donating until
(mm/dd/yyyy)
Gift Information
This gift is anonymous
This gift is from an organization
Comments:
Please let us know if you would like your gift to go towards a specific program.
Contact Information
Organization/Employer
Name
*
First Name
Last Name
Email
*
Your receipt will be sent here.
Verify Email
*
Phone Number
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Would you like to receive updates and invitations by email?
Select "Yes" to receive updates about our work and invitations to upcoming events.
select one
Yes
No
How did you hear about PSS?
Add 3% to my total amount to help cover the payment processing fees