Safer Path Family Violence Shelter Memorial Donation
Donor Information
Donor Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
In Loving Memory
Please provide information on the loved one you are honoring.
Name of loved one you are honoring
*
First Name
Last Name
Is this your family member?
*
Yes
No
Address of the family - The family of the honoree will receive a letter notifying them of your generous donation.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is there anything you want us to know about your loved one?
*
If you wish to provide a photo of loved one you may do that here.
Browse Files
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Your loving donation will be recognized on our website, social media, annual report, and a memorial plaque (available for donations $250 & up).
If you wish for your donation to remain anonymous please select below.
I wish for my donation to remain anonymous
Memorial Donation Amount
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( X )
Supporter
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Advocate
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Champion
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Guardian
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Visionary
Plaque Included
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Guiding Light
Plaque Included
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Patron
Plaque Included
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Empowering
Plaque Included
$
2,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
If you have questions or need more information please contact Cheyenne Vyvlecka at 830-569-2001 X 201 OR cnorthcut@saferpathfvs.org
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