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Donation to Clarity Care

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Thank you for considering a donation to Clarity Care.

Clarity Care is a nonprofit 501(c)3 organization and your donation is tax deductible as allo wed by law.

If you have any questions please contact Barb Salemi, at Barb.Salemi@claritycare.org or (920) 236-6560 ext. 1307.

Thank you for your support!!

First Name*
Last Name*
Organization Name
Name as it should appear in print
List as "anonymous"check box for yes
Address *
City*
State*
Zip Code*
Phone Number*
E-mail
Amount of your donation*
Payment*
Please choose oneHelp At Home
Chance
ExtraOrdinary Fund
Residential Programs
Technology Fund
Anywhere needed
*
If you would like your donation to remain in a specific city, county, or region - please include that here
Name of individual memorialized (optional)
Name of individual honored (optional)
Notes/Instructions