The Women's Coalition of St. Croix
Donation/Membership Form

Name:____________________________________________________

Mailing Address:___________________________________________
_________________________________________________________
_____________________________________Zip Code_____________

There is no limit to the services we could provide except those imposed upon us by lack of funds. You too can make a difference.  A donation of $1,000 keeps our crisis center open. $500 allows us to stock our shelves with non-perishable foods for families in need. $250 helps pay expenses at our crisis center. $125 provides food and shelter for two nights to provide 48 hours of safe time for a victim and their children.  $100 provides for 2 hours of private counseling for a victim.

____$___________ Donation.   Is there a specific program you would like this to go to?

____ $12 Individual

____ $20 Family

____ $50 Organization

____ $100 Sponsor

____ $500 Benefactor

____ $1,000 Guardian Angel

____ Wish List Contribution: item or service ______________________________________

Please make checks payable to:

Women's Coalition of St. Croix
P.O. Box 2734
Christiansted, St. Croix
U.S. Virgin Islands  00822-2734

All donations are tax deductible!   Thank you for your generosity.

Please print out this form and mail along with your check.

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WCSC, PO Box 22 2734, Christiansted, VI 00822-2734 
Phone:  (340)773-9272  or email: wcsc@pennswoods.net
copyright © 1999-2005, Women's Coalition of St. Croix, All Rights Reserved.
Last Update  May 24, 2005
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