VOICES: Registration

VOICES Registration 2021 with donation

First Name *

Last Name *

Email *

Phone

Address 1

Address 2

City

State

Zip / Postal Code

Donations

Your gift does so much! If you would like to support CHANA with a charitable donation, please check the box below. All donations of $18 or more will will receive a handmade bookmark created by a CHANA client.

Would you like to make a donation to CHANA?

Yes, I would like to make a donation

Donation Amount

$180 - pays for a week of groceries for a family of four

$100 - pays for one week of groceries for two people

$75 - covers the costs of a doctor visit for an uninsured client

$50 - pays for a doctor visit for an uninsured client

$36 - pays for transportation to and from court

$18 - pays for clothing for a client's child

Other Amount: $<strong>Other Amount: $</strong>

Cover transaction fees?

Yes, I would like to cover transaction fees so my entire donation goes to CHANA

Your Total

After clicking the submit button below, you will be taken to PayPal to process your payment.