Domestic violence shelter address and phone numbers

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Donations for A Safe Place

A Safe Place is a not-for-profit organization that relies on contributions from individuals, organizations and corporations to fulfill its mission. Donations are tax deductible.

Last year, the generosity of people like you allowed A Safe Place to provide over 14,200 nights of shelter. Your gift will help many women and children break the cycle of domestic violence.

Credit card donation form

You can make a donation to A Safe Place immediately with your Visa, Mastercard, or Discover card. Please fill out our secure donations form below.

If you wish to donate other than by credit card, please contact us and let us know your preferred method of payment.

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DONATOR INFORMATION:
First Name:
Last Name:
Company:
Address:
City:
State:	Zip:
Country:
Telephone:
Fax:
E-mail:
DONATION (Check a button or type in your amount)
	$75 provides one day of shelter and counseling
	$100 provides one session of children's art therapy
	$250 provides 24-hour crisis line support for 10 days
	$500 provides groceries for one week for 35 emergency shelter residents
	$1000 provides utilities for one month at A Safe Place
Other Amount	$
	I would like to become a sustaining member of the A Safe Place family. Charge my credit card monthy for the amount indicated above for a period of one year.
CREDIT CARD INFORMATION
Card Type:	Mastercard VISA Discover
Name on Card:
Card Number:
Expiration Date (MM/YY):
GIFT OPTIONS
Please enter your name, company or organization as you would like to appear in our annual report:

I would like my gift to remain anonymous.
Does your employer match your contribution? You can double or even triple your gift by filling out your employer's matching gift form. Check with your human resources department for a form. Just send the form to us and we'll complete the paperwork for you.
FEEDBACK
How may we contact you:
Email Postal Mail Telephone Fax
Please type any questions or comments here:

Everyone has the right to a violence-free, safe and healthy life.
Help Line: 847-249-4450 � Office: 847-731-7165 � TTY: 847-249-6557

Donations for A Safe Place

DONATOR INFORMATION:

DONATION (Check a button or type in your amount)

CREDIT CARD INFORMATION

GIFT OPTIONS

Does your employer match your contribution?

FEEDBACK

How may we contact you:

Please type any questions or comments here: