Become a Member of Missouri Shores Domestic Violence Center

For a donation of $25.00 or greater per year, you will receive:

  *   Membership Card

  *   Quarterly Newsletters

  *   Sense of satisfaction knowing you have assisted

       to help break the cycle of violence.

MISSOURI SHORES NEEDS YOUR SUPPORT!  

 Donations Of Any Amount Are Gratefully Accepted (and tax deductible)

Please return this form with your contribution

   Please sign me up for an annual membership. My payment is enclosed.

Name: __________________________________________________

Address: ________________________________________________

In Remembrance of someone special in your life, please consider a donation

to Missouri Shores Domestic Violence Center in their memory and honor.

Gift Amount: _______________________________________________

In Memory/Honor of: _________________________________________