Honorary Gift Donation

The gift you are giving in honor of a loved one, a friend, or in celebration of a special occasion can be the difference between safety and danger for a domestic violence victim.
 
Your gift allows us to provide emergency shelter, transitional and permanent housing, counseling, medical and legal services, case management, and outreach programming for victims and their children.

We hope you will allow us to mail a card to the person you are honoring to let them know you are thinking of them.  If so, please provide their name and address in the space below and we will do the rest.

Thank you for entrusting us with your gift.
 
 



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CONTACT INFORMATION
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GIFT INFORMATION

You may choose a one-time only gift or to have your contribution recur monthly, quarterly, semi-annually, or annually. If you designate a recurring donation, that gift will be automatically deducted until you instruct us otherwise.

Donation Frequency:





Donation Amount:











CREDIT CARD INFORMATION
 
 
(3 digit code located on back of card)
 
/
 
BILLING ADDRESS
Check here if your billing address is the same as your contact address.
ADDITIONAL GIFT INFORMATION
My gift is being given in honor of:


 
SECURITY
As an added level of security, please type the following code before clicking submit. 

 Security code

 

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Please note that communications over the Internet are not confidential and can be traced. If you are in danger of being monitored, please use a safe computer. For more information on Internet Safety, click here.

If you need help, call The Julian Center 24-Hour Crisis Line at (317) 920-9320.