Single Gift

The Amount is: $10 $25 $50 $75 $100 $250 Other

Gift in memory of

Gift in honor of

Include name and address of person(s) whom you would like to inform of your gift.

Check here if you permit us to publicize your donation.

Monthly Gift

I would like to become a "Friend to Dottie's House" by making a monthly contribution to Dottie's House in the amount of per month

Your Information

Mr. Mrs. Ms.

Name:

Address:

Apt #

City: State: AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:

Phone: Fax: E-mail:

Method of Payment

I will mail a check Please use the credit card below

Card Number:

Card Security Code Expiration Date:

Credit Card Visa Master Card American Express Discover

Name on Card

I would like additional information

I am interested in the following events for the benefit of Dottie's House: Golf Classic Triathlon 5K Run/Walk Casino Night Gala Holiday Bus Trip "Kids Helping Kids" Coin Drive

I am interested in hosting an event for the benefit of Dottie's House:

If so, please specify

Please contact me about: A bequest through my will I have already included Dottie's House in my estate plan. Other (please specify)

Volunteer

Thank you for your interest in volunteering for Dottie's House. Our mission includes making a difference and improving the quality of life to women and children who have survived domestic violence. Volunteers tie directly into our mission, as they play an integral role in making a difference through their service work.

If you would like to be a part of our mission, please complete the volunteer application and return it to our office. Once we receive your application, we will contact you to schedule a brief interview. After the interview, you will be required to obtain fingerprints from your local police department. In the meantime, if you have any questions, please do not hesitate to contact us at (738) 262-2009. Thank you!


Dottie's House Wish List:

Below are some items that we are in need of for our residents:

New sheet sets for twin, full and queen beds New comforters for twin, full and queen beds New blankets for twin, full and queen beds New towels (bath, washcloth, hand, and kitchen towels) Pillows Cleaning supplies (windex, pledge, mops, brooms, etc.) Shampoo Conditioner Feminine hygiene products Deodorant Toothpaste Razors Paper towels Toilet paper Gift Cards to Target, Walmart, Kmart, Shoprite, A&P, Stop & Shop, Pathmark

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