Brooklin Volunteer Fire Company
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Amount
*
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Is this a tribute gift?
*
Indicate the form of tribute (if any). Additional fields will be provided for the name of the person
No
Yes, in honor of
Yes, in memory of
Name of the person this is memory of
First Name
Last Name
In honor of:
First Name
Last Name
Your Contact Information
Name
First Name
Last Name
Email
*
Verify Email
*
Preferred form of contact
*
It helps us save costs and volunteer time if you choose email rather than postal mail
Email
Postal Mail
Both
Salutation: How would you and your co-givers (if any) like to be addressed in a letter or email?
*
Please enter your nickname, first name, Ms, Mr, Mrs, Dr or other salutation exactly how you'd like it to appear when we write to you. For example, enter "Ginger & Fred" to see it as "Dear Ginger & Fred"; enter "Doctor & Mr Rogers" to be addressed as "Dear Doctor & Mr Rogers"; "Rogers Family" for "Dear Rogers Family"; etc.
Annual Report Name(s): How would you and your co-givers (if any) like to be identified in a list of donors?
Please enter your nicknames, first names, Ms, Mr, Mrs, Dr or other identification exactly how you'd like it to appear when we post a list of donors (as in "Ginger & Fred Rogers" "Doctor & Mr Ginger Rogers", "The Ginger & Frederick Baker Rogers Family", "Anonymous" etc.)
Do you want them to receive their own email about this donation?
Yes
No
Enter name of spouse / partner
First Name
Last Name
How would your spouse / partner like us to address them?
Other
Spouse / Partner's Nickname / Other
Please enter their nickname or other exactly how they'd like it to appear.
Enter name of spouse / partner to receive email
First Name
Last Name
How would your spouse or partner like us to address them?
First name
Nickname
Ms
Mrs
Mr
Dr
Other
Spouse or Partner's Nickname / other salutation
Please enter their nickname or other salutation exactly how they would like it to appear.
Enter name of other person in your household
First Name
Last Name
How would other person in your household like us to address them?
First name
Nickname
Ms
Mrs
Mr
Dr
Other
Other Household Person's Nickname / other salutation
Please enter their nickname or other salutation preference exactly how they'd like it to appear.
Enter name of additional donor outside your household
First Name
Last Name
How would this additional person outside your household like us to address them?
First name
Nickname
Ms
Mrs
Mr
Dr
Other
Nickname / other salutation of person outside your household
Please enter their nickname or other salutation exactly how they would like it to appear.
Other donor's email address
Verify Email
Additional household member's email address
Verify Email
Additional donor's email address
Verify Email
Additional donor's mailing address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Check here if a third person should also be acknowledged for this donation
Someone else in your household
Someone outside your household
No one else
Do you want them to receive their own email about this donation?
Yes
No
Do you want them to be contacted individually about this donation?
It would help us a great deal if we could contact you collectively—or at least via email only if individually
No
Yes—via email
Yes—via postal mail
Yes—via both
Name of additional person in your household to be acknowledged for this donation
First Name
Last Name
How would this additional person in your household like us to address them?
First name
Nickname
Ms
Mrs
Mr
Dr
Other
Nickname / other salutation of additional person in your household
Please enter their nickname or other salutation exactly how they would like it to appear.
Name of additional person outside your household to be acknowledged for this donation
First Name
Last Name
How would this additional person outside your household like us to address them?
First name
Nickname
Ms
Mrs
Mr
Dr
Other
Nickname / other salutation of additional person outside your household
Please enter their nickname or other salutation exactly how they would like it to appear.
Additional donor from household's email address
Verify Email
Additional donor's email address
Verify Email
Additional donor's mailing address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Organization/Employer
Enter the name of the organization that you are donating on behalf of. It can be a business, a charitable group or even an informal group (ie, "The deli staff at the Brooklin Hanafords")
What is your connection to Brooklin?
*
Property Owner / Renter
Visitor / Other
Your Brooklin property location
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Is that also your year-round mailing address?
Yes: It is my year-round mailing address
No: I have a year-round Brooklin PO box
No: It is my seasonal address
No: I have a seasonal Brooklin PO box
Brooklin Season Start Date
Please provide a rough idea of when you think you will next arrive in Brooklin for the season
Brooklin Season End Date
Please provide a rough idea of when you think you will next leave Brooklin for the season
Your Brooklin mailing address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Brooklin Mail Season Start Date
Please provide a rough idea of when you think you will next start receiving mail in Brooklin for the season
Brooklin Mail Season End Date
Please provide a rough idea of when you think you will next finish receiving mail in Brooklin for the season
YEAR-ROUND Postal Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Your Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Would you like a family member or friend of the deceased notified of your gift?
Yes
No
Would you like us to notify the person that you are honoring?
Click yes if you would like us to notify the person that you are honoring of your gift
Yes
No
Name of family member or friend of the deceased to be notified
First Name
Last Name
Contact family or friend of the deceased via
select method of contacting the person to be notified of your tribute
Email (preferred)
Postal Mail
Both
Contact honoree via
select method of contacting the person to be notified of your tribute
Email (preferred)
Postal Mail
Both
Email address of person to be notified
Verify Email
Email address of honoree
Verify Email
Postal address of person to be notified
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Postal address of honoree
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Comments:
We welcome your comments or other notes.
Add 3% to my total amount to help cover the payment processing fees