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One Time or On-going Donations
We Greatly appreciate your Support.
All Donors (who are willing) receive full acknowledgement in our quarterly email newsletter. Donors who give $50 or more receive our "I'm Doin It! I'm Given it up for those in Need!" T-shirt (please allow 4-6 weeks for delivery). On-going (monthly) Donors will receive a reminder card, each month, in their mail.

Credit Card Donation:
To make a one time or on-going (monthly) donation by Credit Card please fill out the Donation Form below and press submit.

Check or Money Order Donation:
To make a one time or on-going donation by check or money order please fill out the Donation Form below, print it and mail it along with your payment made out to PATCH, to the following address:
PATCH
P.O. Box 99
Sheffield, VT. 05866


Donation Form:

Please pick a button to indicate if You would like to make this an On-going (monthly) Donation:
Yes     No

Please pick a button to indicate if You are making a donation of $50 or more today:
Yes     No
If you answered Yes, to making a $50 or more Donation
please specify T-shirt size (allow 4-6 weeks for delivery):

Size Selection

Email:


If you are Donating $50 or more or would like to make an On-Going Donation, Please fill out the following so we know where to send your T-shirt and or reminder card.
If Neither of the above pertain to you, this portion is Optional.

First name:
Last name:
Mailing Address:
City:
State:
Zip/Postal Code:
Country:

Thank you again for Your Support!
Credit Card donors, Please press the Submit button to input your billing Info.
Check & Money Order donors, Please Print this page & mail it along with Your Donation.

 
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THANK YOU
for your
Support!