31 Nights of Shelter Donation Form
31 Nights of Shelter invites our community to sponsor the cost of one night of safe shelter—$175 provides housing, meals, advocacy, and support for survivors and their children. Our goal is to fill all 31 nights in October, ensuring a full month of safety and hope during Domestic Violence Awareness Month.
Name
*
First Name
Last Name
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
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What night in October would you like to donate?
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Month
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Day
Year
Date
Donating Multiple Nights? Type all the dates you would like to sponsor here.
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1 Night of Shelter
Enter description
$
175.00
Quantity
1
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1 Night of Shelter
with Credit Card Fee
$
180.38
Quantity
1
2
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Credit Card
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