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Online Donation Form
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Donation Details
Donation Amount
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$1,000
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Designate Fund (optional)
If left blank, your donation will be consider unrestricted. Our unrestricted fund supports all facets of what DVSN does (Toll-free & Confidential Help Line, Safety Planning, Court Support, Support Groups, Trainings, Events, Operations, etc.).
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Angel of Hope (grocery and holiday support)
Stacy’s Fund (legal assistance)
Support Groups
Unrestricted
Gift Note
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Is this gift a tribute?
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Tribute Type
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In Honor Of
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Tribute Name
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Dedication
Tribute Notification Preference?
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Would you like us to send a notification of your gift in their name?
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Tribute Notification Recipient (if different from Tribute Name)
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Tribute Notification Email
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Tribute Notification Address
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Donor Contact Information
Name
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First Name
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Organization/Company
(if applicable)
Preferred Email
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Preferred Email Type
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Mailing Address
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Address Line 1
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Address Type
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Preferred Phone #
Preferred Phone Type
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Mobile
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Additional Options
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Anonymity?
Sometimes we like to publicly thank our donors, check this box if you would prefer us to list your name as "Anonymous"
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