ESOL Level 1-2

ESOL Level 5-6

HSE

ESOL Level 1B

Pre-HSE

Select Gift Frequency

Donor Information

Send an Acknowledgement

Select Gift Frequency

Donor Information

Send an Acknowledgement

Online Donation Form

Type of Gift

I would like to make a one-time gift.

I would like to make a recurring gift.

Donation Amount $

Donation Amount

Payment Frequency

Donation Amount $

Donation Amount

Designation *

NOTE: This transaction will count as the first payment toward your total gift amount.

Title

Gender *

Male

Female

First Name *

Middle Initial

Last Name *

Email Address *

Phone Number

Address 1 *

Address 2

City *

State *

Zip/Postal Code *

Would you like information on becoming a member of YWCA Queens?:

Yes

Additional Comments

When you make a gift in honor or memory of someone special, we will send the honoree or the family of the memorialized person a special card notifying them of your gift. Please indicate below the name of the honoree or memorialized person, as well as the name and address to whom the tribute notification card should be mailed.

In Honor of

In Memory of

Notify Name

Notify Address

Notify State

Notify City

Notify Zip

Special Instructions

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