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Mosaic Vermont Donation Form

When you donate to Mosaic you are offering support and shelter to people who have experienced sexual harm. Support from people like you is what keeps us going! Mosaic is a 501(c)3 organization and donations are tax-deductible.

Amount

$100

$50

$25

Donation Schedule

Contact Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

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