Thee Nesters Lifeline

Thee Nesters Lifeline

Fill out the form below and an office admin will contact within 5 - 7 business days to complete your sign up. Thank you for your support.
Date*

MonthDayYear
Date
Personal Information
Name*

First NameLast Name
E-mail
example@example.com
Phone Number
CONNECTION
How did you hear about Thee Blueprint Collective or Thee Nesters program?
What inspired you to become a Lifeline?
SUPPORT DETAILS
How would you likke to support?

$10 monthly$30 QuarterlyOne time donation of $120
PAYMENT
What is your method of payment preference?*

Cash AppSquare Reoccurring InvoiceCheckPaypal
ACKNOWLEDGEMENT
Would you like to receive occasional updates on how your support impacts the Nesters program?

YesNo
Would you like to your name to be recognized publicly as a Lifeline supporter?

YesNo, I prefer to remain anonymous
Message to thee Nesters (optional) If you'd like, share a few words of encouragement or inspiration for the women in the program.
Commitment Confirmation

I understand that becoming a Lifeline involves a monthly commitment of $10 to support thee Nesters program and its mission to empower women survivors through holistic healing.
Authorized Signature: *

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