RESTORE COMMUNITY COUNSELING FUNDRAISER | Restore Community Counseling

One-time Monthly

$10

$50

$100

Dedicate my donation in honor or in memory of someone

Write us a comment

Your comment

Display your donation & comment on the donor wall

Display your first name instead of full name

Hide donation amount

Choose a payment option:

Credit/Debit Card

First Name

Last Name

Make donation anonymous

This donation is on behalf of a company

Phone

Address

Address 2

Postal Code

City

State / Province

Are you currently employed?

Yes

Optionally add to cover processing fees

Please fix the errors above.

By using Apple Pay, you will provide your name, e-mail and address.

By using Google Pay, you will provide your name, e-mail and address.

Save my information for future donations.

Card Number

MM / YY

CVC Code

The 3-4 digits on the back of your credit card

Billing ZIP Code

Enter the Zip/Postal code for your credit card billing address

Create a donor account to manage my donations and donate again faster.

Optionally add to cover processing fees

You can log in to edit your recurring donation any time

$200

Raised

Donations

$2,000

Goal