Yes, I want to help stop domestic violence by supporting the mission of ACADV.
Enclosed is my tax deductible contribution:
Phone: ____________________Email: ________________________________
Enclosed is my check for $_________________ OR I pledge $_____________
Payments will be made: _____ Monthly _____ Quarterly _____Annually
Payments to begin on _______________________________________________
_____ I do not want my name to be publicized in connection with this gift.
_____ I would like more information about ACADV.
Please send completed form and/or check to:
Arkansas Coalition Against Domestic Violence
1401 West Capitol, Suite 170
Little Rock, AR 72201
Make checks payable to:
We thank you for your generous support of ACADV.
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