Name: National Prevention Week
Start: 2019-05-12T00:00:00-06:00
End: 2019-05-18T23:59:59-06:00

Contribution Amount*
- For Instance: $250 provides shelf stable milk for 324 families
- For Instance: $200 provides a two-person family 4 months of food
- For Instance: $100 provides 100 lbs. of fresh local produce
- For Instance: $50 provides an emergency food box for a two-person family
- For Instance: $25 provides 50 pounds of beans or pasta
- Specify your own amount to contribute
Your Donation Amount*
Recurring Donation
- I would like to make this a recurring monthly donation.
Please contact us by phone to cancel this recurring donation at any time.
Step 1 of 4

Your Story
First Name
Last Name
City
Phone Number (if you want to be contacted again in the future)
Email (if you wish to be contacted in the future)
Information I wish to have shared if my story is published in GVFB publications, the media, and/or public
Permissions (choose only those that apply)
- I understand the GVFB may highlight my story in its publications and share it the media/public
- If asked, I may wish to speak to the media
- If asked, I would consider sharing my story on an audio or video recording
- I have a photo of myself that you could use if you choose to highlight my story
If you have photos or documents that go with your story that you wish to share, please attach them here.

Contribution Amount*
- For Instance: $250 provides shelf stable milk for 324 families
- For Instance: $200 provides a two-person family 4 months of food
- For Instance: $100 provides 100 lbs. of fresh local produce
- For Instance: $50 provides an emergency food box for a two-person family
- For Instance: $25 provides 50 pounds of beans or pasta
- Specify your own amount to contribute
Your Donation Amount*
Recurring Donation
- I would like to make this a recurring monthly donation.
Please contact us by phone to cancel this recurring donation at any time.
Step 1 of 4

Your Voice Matters