Would you like to help with matching funds or an in-kind donation?
Remember do not send money now.
Just this form,
we will be asking for whatever you certified to contribute later.
This is the only page you have to fill out.
Here's how you do it:
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1 . You put your name and address 2. Put
3. Put
4. Put what you are going to give, like cash or time or clothes etc... 5. How much cash or how much whatever you give is worth 6. Put FY 09 8. Print your name 9. Leave blank 10. Your phone number 11. Your e-mail 12. Sign your name 13. Put the date |
Thanks for your support
When a child should be seen
right away
If you can answer "YES" to one or more of the following
An incident of abuse has taken place within the past 72 hours
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The alleged abuser is in the home with the child
~
The child needs immediate medical attention
~
page designed by
Julie Williamson
Copper River Basin Child Advocacy Center
PO Box 103, Gakona AK 99586
907-822-3733
All rights reserved