Donation Form

Courage Connection is committed to ensuring every member of our community has the education, resources, and support to live in safe and healthy relationships.

By making a charitable gift to Courage Connection, a 501(c)3 organization, the donor understands that

Courage Connection cannot refund charitable donations.

Thank you so much for your gift!

Donation Information

Type of Donation

DonationMonthly Recurring Donation

Complete the following fields if this gift is a tribute. (optional)

Type of Tribute

Tribute Name

Title

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

Contact Information

First Name

Last Name

Company Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Donation Policy
We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Courage Connection is a 501(c)3 charity. Our FEIN is 37-1346397.

As you have received no goods or services in exchange for your donation, your gift is tax-deductible to the full extent of the law. By making a charitable gift to Courage Connection, the donor understands that Courage Connection cannot refund charitable donations.