Reverend Patricia Saunders, CEO/President - Domestic Violence   HIV/AIDS   Homicide   Pastoral Care
CONTRIBUTIONS ARE APPRECIATED
 
Please make your donation to an organization that has a heart and passion for
victims of crime, make sure that your donations are being used for the victims,
we pledge to commit to using your donation for that purpose only.
Rev. Patricia Saunders, CEO/President
 
 
Name:_____________________________________________
 
Organization/Corporation:____________________________Title:________________________ if applicable.
 
Address:____________________________________City/State/________________________
 
Zip:_______________________
 
Email:________________________________
 
Email:__________________________________
 
Daytime Phone: (   )_____________________ Evening Phone: (    )______________________
 
Cell Phone: (    )________________________  Fax: (    )______________________________
 
My gift to the DC Alliance, Empowering Homicide Survivors, Inc.: $______________________
 
My gift will be paid according to the following:
 
Check: Payable to the DCAEHS, Inc.
 
Pledge: To be paid over (   ) Six months (   ) One year (   ) Other (specify):________________
 
Payment to be made at the rate of: $______________________
Per: (   ) Month            (   ) Quarter     (    ) Year
Beginning in: _____________________________,________________
                                                Month                                     Year
This gift should be: (    ) Anonymous           (    ) Recognized
 
If you would like this gift to be recognized, please print below the name (s) (personal,
foundation, organization or corporate) you wish to use for donor recognition. Please include the salutations:
 
Please mail this pledge form to: DC Alliance, EHS, Inc., Rev. Patricia Saunders, CEO, P.O. Box 92246, NE Washington, DC 20090. Your donation is a 501© (3) tax-exempt organizations under the regulations of the Internal Revenue Services Contribution are tax-deductible to the extent allowed by the law.
 
"Let us thank you in advance for your donation."