Individual Giving Form

Individual Giving Form

Norfolk Area Pride is a non-profit organization that provides services, community education, safety, awareness and support for LGBTQ+ individuals in Northeast Nebraska.
Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Can we list you as a donor?*

YesNo, please keep my donation anonymous.
Listed Name (if different than above)
Ex: Alex Garcia -or- Alex and Angel Garcia -or- The Garcia Family -or- Alex Garcia and Angel Smith -or- In honor of Adrian Garcia
Any additional comments?
Donation Details
Donation Type*

I will donate online now.I will mail a check.I will make an in-kind donation.
Donation Check Amount*
Payment Instructions:

1. Make your check payable to Norfolk Area Pride.

2. Include "donation" on the memo line.

3. Mail check to:

Norfolk Area Pride
710 S. 13th Street
Suite 900 PMB 213
Norfolk, NE 68701
Description of In-Kind Donation*
Value of In-Kind Donation*
In-Kind Donation Instructions:

Please contact us at treasurer@norfolkareapride.org for arrangements, or mail gift cards to 710 S 13th St Ste 900 PMB 213, Norfolk, NE 68701.
Donation Amount

prevnext( X )
USD

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Contact Information