Donation Form

Donation Amount*

USDPlease enter a dollar amount (e.g. 50.00)

Recurring Donation Options*

One-Time GiftRecurring Gift - I understand that an Aid for Women representative will contact me to set up the my donation as a recurring gift (monthly, quarterly or annually).

Memorial and Honor Gifts

In Memory ofIn Honor ofNone

Honoree/Memorialee Name

PrefixFirst NameLast NameSuffix

Your Name*

PrefixFirst NameLast NameSuffix

Your Address*

Street Address

Street Address Line 2

CityState

Zip Code

Your E-mail*

Confirmation Email

Your Phone Number*

How did you hear about Aid for Women?

Example: Baby Bottle Fundraiser, Event, Friend

Name of Parish, Church or Organization Affiliation

In Honor of: If you would like to make this gift in honor of a loved one, please indicate your intentions below.

Name, Details

In Memoriam: If you would like to make this gift in memoriam of a loved one, please indicate your intentions below and we will pray for them.

Name, Details

Comments

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