Sharing
Connections
is uniquely
able to provide
a bed, crib,
table and
chairs or
sofa by which
mothers, fathers
and all care
givers are
able to provide
a sense of
home and security
for their
family members
in the face
of so much
hardship.
We
invite you
to join us
in the celebration
of Motherhood
and those
in our lives
whose love
and caring
has given
us the strength
to grow and
succeed. We
welcome you
to make a
donation to
support our
work in honor
of the mother
in your life.
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YOUR
Name:
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YOUR
Address:
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YOUR
City:
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YOUR
State:
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YOUR
Zipcode:
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YOUR
Phone Number:
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YOUR
Email Address:
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Choose
the donation
type:
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Name
of individual
who this is
in honor of/memory
of:
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Relationship:
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If
other
relationship:
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| I
would like to
make a donation
in the amount
of: |
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$300
$100
$50
$25
Other Amount |
If
amount is other:
$
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I
would like to
make my payment
by:
|
| If
by Check,
please print
this form and
mail in with
your check.
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| If
by Credit
Card,
a staff member
will call to
take your payment
information
by phone. |
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| Please
notify the following
person that
a gift was made
in their honor
at the following
address: |
Honoree
Name:
|
Honoree
Address:
|
Honoree
City:
|
Honoree
State:
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Honoree
Zipcode:
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Honoree
Phone:
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Honoree
Email:
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Additional
Comments:
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| Once
you select the
"Submit"
button below,
we will contact
you with further
information
including payment
verification.
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