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New Donor Survey

You are here: Home1 / Uncategorized2 / New Donor Survey

New Donor Survey

Thank you for supporting Peace River Center! Your feedback helps us keep you connected to the positive impact you have on our clients and in our community.

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Name*

First Last

Email*

Cell Phone Number*

How did you first hear about Peace River Center?*

Other (how did you first hear about PRC):*

Which of our mission areas is most meaningful to you? (Please select all that apply.)

Children’s Services

Mental Illness Recovery

Victim Services (Domestic Violence/Sexual Violence)

Other

Other Interest Area

How do you prefer we share updates and stories with you? (Please select all that apply.)*

Email

Mail

Phone call

Text message

What type of updates are you most interested in? (Please select all that apply.)*

Advocacy and awareness

Client success stories

Impact reports

Upcoming events

Volunteer opportunities

Anything else you would you be interested in learning more about? (Please select all that apply.)*

Connecting Peace River Center with my employer for workplace giving or sponsorship

Hosting a supply drive

Leaving a legacy by including Peace River Center in my estate planning

Touring Peace River Center

Volunteering

Other

Other. I'd like to learn more about...

What is 1+1?*

Please verify your identity by completing the following problem.

You can make a difference.

By supporting Peace River Center, you’ll be helping us make a positive impact in the lives of the people we serve. Whether it’s a small gift or some of your spare time, you’re contributing to our goal: to help build emotional wellness in our communities.

You can make a difference.

By supporting Peace River Center, you’ll be helping us make a positive impact in the lives of the people we serve. Whether it’s a small gift or some of your spare time, you’re contributing to our goal: to help build emotional wellness in our communities.

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First Name

Last Name

Email**

What is 1+1?*

Please verify your identity by completing the following problem.

By submitting this form, you are consenting to receive marketing emails from: Peace River Center, 1239 East Main Street, Bartow, FL, 33830, US, http://peacerivercenter.org. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact.

Services • Locations • Resources • Events • Donate • Contact Us

You Are Not Alone. Get Help Today!

Emotional Support & Crisis Line: 863.519.3744

Domestic Violence Crisis Hardee/Highlands County: 863.386.1167

Domestic Violence Polk County: 863.413.2700

Sexual Assault Crisis Line: 863.413.2707

You Are Not Alone.
Get Help Today!

Emotional Support & Crisis Line: 863.519.3744

Domestic Violence Crisis Hardee/Highlands County: 863.386.1167

Domestic Violence Polk County: 863.413.2700

Sexual Assault Crisis Line: 863.413.2707

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