Online Giving Form

Thank you for donating to our D.A.S.H. Kit program.
Survivors of domestic violence and intimate partner violence will recieve kits containing new pairs of underwear, bras, a three month supply of the menstrual products of their choice, a cloth mask, and more.
We hope that this will provide come comfort, and a base from which to rebuild their lives.

Here are some examples of the impact your donation can have:

$5.00 monthly supports one survivor

$15 monthly provides bras and underwear to a survivor each month

$25 monthly provides a complete DASH Kit to a survivor each month

Other

$25 - Ship a DASH Kit to a survivor

$65 - Sponsor two complete DASH Kits for survivors

$90 - Provide a month's worth of underwear and bras to five survivors

$125 - Ensure eight survivors receive DASH kits

$550 - Sponsor 50 DASH Kits

$1000 - Sponsor 125 DASH Kits

Other

This is a one time donation

Make this a recurring donation deducted

First Name: Last Name: Email: Phone: Address: City: State: Territory (Foreign) Zip: - Country:

If you would like to make a donation in honor or in memory of a loved one, please complete the following information.

Tribute Type: Tribute Name:

If you would like to manage your Neon CRM account (i.e., view and print donation history, update profile, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.

Billing Information

Payment method: Credit Card
American Express

E-Check PayPal

Card:

Cardholder First Name: Cardholder Last Name: Zip Code: - Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

E-Check Billing Information

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Click this button to make your payment via PayPal.
Note: You will be redirected here once your payment is processed by PayPal.