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Your donation ensures that every child who walks through our door gets unconditional support and comprehensive care.

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How Your Gift Helps (hover to view)

How would you like to donate?

One Time

Recurring

How much would you like to give?

Other $

Would you like to make your gift in honor or memory of someone?

Yes

In honor of

In memory of

Full Name of Honoree*

Event Name (optional)

Send notification about my donation

Recipient Name *

Address *

City *

State *

ZIP *

Optional message to include

Is your company matching your gift?

Yes

Company Name:

First Name:

Last Name:

Address:

Phone:

Email:

About You

We will not share your email address or personal information with anyone else.

Title *

First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

ZIP *

Billing and Payment

Billing information same as above

First Name *

Last Name *

Address *

City *

State *

ZIP *

I'd like to cover the processing fee so 100% of my donation goes to The Valerie Fund.

Payment Options

ApplePay will not be available if the site cannot determine your capability.
We do not accept Discover, apologies for any inconvience.

Donate

How Your Gift Helps (hover to view)

How would you like to donate?

How much would you like to give?

Would you like to make your gift in honor or memory of someone?

Full Name of Honoree*

Event Name (optional)

Recipient Name *

Address *

City *

State *

ZIP *

Optional message to include

Is your company matching your gift?

Company Name:

First Name:

Last Name:

Address:

Phone:

Email:

About You

Title *

First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

ZIP *

Billing and Payment

First Name *

Last Name *

Address *

City *

State *

ZIP *

Payment Options

1. Credit Card

Card Number *

CVV *

Expiration: Month/Year *

2. Apple Pay

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