HELP US KEEP MOMS AND CHILDREN SAFE. For those experiencing violence at home, "Safer At Home" is anything but safe. It's only with the help of very generous supporters and donors like you that Women In Distress can provide life-saving services to moms who are domestic violence abuse survivors and their children. A gift to honor your mom, or another strong woman in your life, will help keep moms and children safe at the most critical times in their lives - and now we need your help more than ever. There's still time to honor your mom or another strong woman in your life. Your Mother's Day gift will support programs and services such as safe Emergency Shelter, our 24-Hour Crisis Hotline, counseling and therapy hours, and more to help survivors and their children rebuild their lives. * = Required fields Field Is Required Select Gift Amount: $2,000.00 Can provide a family of 5 four safe nights of shelter $1,000.00 Can provide a family of 5 two safe nights of shelter $500.00 Can provide a family of 5 one safe night of shelter $250.00 Can provide 25 crisis hotline calls $100.00 Can provide one safe night of shelter $50.00 Can provide one therapy session $25.00 Can provide 2 crisis hotline calls $10.00 Can provide 1 crisis hotline calls Enter an Amount Enter amount Yes, automatically repeat this gift every month. Additional information (is there anything else you want us to know about this donation?) Donor Information Name of Business (if applicable) Donor First Name: Donor Last Name: Donor Street 1: Donor Street 2: Donor City: Donor State/Province: AK - Alaska AL - Alabama AR - Arkansas AZ - Arizona CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NC - North Carolina ND - North Dakota NE - Nebraska NH - New Hampshire NJ - New Jersey NM - New Mexico NV - Nevada NY - New York OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VA - Virginia VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming AS - American Samoa FM - Federated States of Micronesia GU - Guam MH - Marshall Islands MP - Northern Mariana Islands PR - Puerto Rico PW - Palau VI - Virgin Islands AA - Armed Forces Americas AE - Armed Forces AP - Armed Forces Pacific AB - Alberta BC - British Columbia MB - Manitoba NB - New Brunswick NL - Newfoundland and Labrador NS - Nova Scotia NT - Northwest Territories NU - Nunavut ON - Ontario PE - Prince Edward Island QC - Quebec SK - Saskatchewan YT - Yukon None Required Donor ZIP/Postal Code: Donor Country: United States Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivarian Republic of Venezuela Bonaire, Sint Eustatios and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Democratic People's Republic of Korea The Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Federated States of Micronesia Fiji Finland The Former Yugoslav Republic of Macedonia France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Islamic Republic of Iran Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Plurinational State of Bolivia Poland Portugal Puerto Rico Qatar Republic of Korea Republic of Moldova Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles S. 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Honoree Information Honor Gift Type: In Memory of In Honor of Required Honoree Name: Payment Information Credit Card Information: Credit Card Type: Credit Card Number: Expiration Date:Select month of credit card Select Expiration Year 01 02 03 04 05 06 07 08 09 10 11 12 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 CVV Number: What is this? Process Cancel You can send donation checks through the mail to: Women In Distress of Broward County, Inc. P.O. Box 50187 Lighthouse Point, FL 33074 Thank you for making a secure, tax deductible donation to Women In Distress of Broward County, Inc. Rest assured that the information you provide here is safe and will not be shared. If you have any questions, please contact our Development office at (954) 760-9800. Click here to view our financial information.