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Donation Form

to 4C

The option to make this amount a monthly contribution is at the bottom of this form.

Contact Information
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Designation (Optional)
To designate your donation for a specific fund or purpose, please enter a description of how you'd like your donation to be used.
Dedication of Gift (Optional)
To make a donation on behalf of or in memory of another person, please enter the person's name.
Additional Details

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Our Impact Since October 1, 2016

  • Dollars Raised


  • People Trained


  • Volunteer Hours


  • Children Helped


© 2017 4C of Southern Indiana, Inc.

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