Show Your Love Campaign

First Name*

Last Name*

Email*

Phone Number*

Street Address*

City*

State/Province*

Zip Code*

Company Name (if any)

Company Website (if any)

Acknowledgement Preference*

How would you prefer to be acknowledged for your gift?

I want to remain anonymous and not have my donation info publicly acknowledged.

I'm ok with my donation info (Frist Name, Last Name, Donation Amount) being publicly acknowledged on Be Strong Families' website during this campaign time (Nov 2024 - Jan 2025).

I prefer partial acknowledgement, please specify in the box below.

Fundraising Campaign Membership

Dedication (Optional)

If you have any comments or dedication notes about this donation, please let us know: