Elevate Youth Services · General Donation Form EYS 4-19-22 no header

Your Gift

Yes, I want to support Vermont youth!

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$1,000

$500

$250

$100

$50

$25

$

Matching Gift

My company will match my gift

Company

(Please remember to complete the process required by your company.)

This gift is in honor or memory of a special person or occasion

Additional Information About My Gift

(Name of person or occasion being honored? If this a corporate gift, what is the name of your company? Other info?)

(We will never share or sell your personal information)

Name

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First Name

Last Name

Email

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Your receipt will be emailed here.

Verify Email

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Phone Number

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

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If you prefer to mail your donation, send to: Elevate Youth Services, 652 Granger Rd. Suite 2, Barre, VT 05641

Questions about making a gift? Please contact info@elevateyouthvt.org 802-229-9151