Join the Community of Courage
Members commit to $2,000 or more of financial support in a calendar year.
Member benefits:
a members-only VIP Party in the fall, the VIP reception prior to the Celebration of Courage, and a Community of Courage (CoC) membership decal.
Membership Options
Amount
$2000 1X Annually
$1000 Bi-Annually
$500 Quarterly
$167 Monthly
Type of Donation
One Time Donation
Recurring Donation
Frequency
Annual
Bi-Annually
Quarterly
Monthly
Membership Type
New Membership
Renewal Membership
Contact Information
First Name
Last Name
Company Name
Address
Address 2
City
State/Province
Alabama
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Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Other
Armed Forces Pacific
British Columbia
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Hawaii
Idaho
Illinois
Indiana
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Kentucky
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Manitoba
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Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
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Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code
Phone
Email
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Yes
No
Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to New Life Refuge Ministries and I will donate $0.00.
No. I will donate $0.00 and New Life Refuge Ministries will cover the processing costs.
Payment Information
Payment Options
New Credit Card
New Bank Account
Credit Card Information
Card Holder Name
Visa
MasterCard
Discover
American Express
Card Account Number
Expiration Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
24
25
26
27
28
29
30
31
32
33
34
Security Code
Billing Address
Same As Above
Address
City
State/Province
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Other
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code
Email
Your entry is not a valid email address!
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