Honor A Loved One

Honor a Loved One While Helping Others
You can honor someone you love with a gift plus provide shelter, support, and important services for families harmed by domestic violence.
We will send a gift card signed as you wish for a birthday, anniversary, Mother's Day, Father's Day or other special occasion or as a memorial to a loved one.
Gifts can be arranged with a credit card by phone by calling (216) 651-8484 ext. 313 or you can print and send the form below with your contribution, and we will do the rest.
|
□ $25 |
□
$50 |
□ $75 |
□ $100 |
Provides dinner for the 30 residents in one shelter for one day. |
Provides 15 art therapy sessions for a child in shelter. |
Provides 5 nights in shelter for a family of five. |
Provides court escorts for 3 domestic violence victims. |
This gift is a
| □ Anniversary | □ Birthday | □ Memorial | □ Special Occasion ______________________ |
Please send a gift acknowledgement card to:
_______________________________________________________________________________________
Recipient Name _______________________________________________________________________________________
Address City State Zip _______________________________________________________________________________________
Your Name _______________________________________________________________________________________
Address City State Zip
□
Check Enclosed □ Visa □ Mastercard □
Credit Card #______________________________________________________
Exp. Date________________________ Signature__________________________________________________________
Date ___________________________
Contributions should be made payable to: The Domestic Violence Center
Send your Contribution to:
Domestic Violence Center
P.O. Box 5466
Cleveland, OH 44101
Thank You!