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Targeted Support Donation FormChannel One

Targeted Support Donation Form

Targeted Support Donation Form

"*" indicates required fields

Email

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Donor Information

We would like to get to know you! Please, complete a tiny bit of information about yourself.

Name:*

We would love to get to know you! Please enter your preferred name.

First Last

Email Address:*

Enter an email address that is actively used as confirmations and receipts will be sent to this address.

Enter Email Confirm Email

Mailing Address:*

Please provide us with an accurate mailing address so we can send you a tax receipt and our deepest gratitude.

Street Address City State ZIP Code

Donation

Type of Donation:*

I would like to make a one-time donation

I would like to make a monthly donation

One-Time Donation to Channel One

One-Time Gift Amount ($):*

Please enter the amount you would like to generously gift to Channel One.

Monthly Donation to Channel One

Monthly Gift Amount ($):*

Please select the amount you would like to generously gift to Channel One. Select "Other Amount" if you would like to gift an amount not shown in the existing choices.

$1000

$500

$250

$100

$75

$50

$25

Other amount

Enter Amount You Would Like to Give Monthly ($):*

Please enter the amount you would like to generously gift to Channel One.

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How Many Months Would You Like this Gift to Recur?*

Donation Tribute

Include a Tribute With Your Donation:*

Yes, I Would Like to Include a Tribute With My Donation

No, I Do Not Want to Include a Tribute With My Donation

Tributee Name:*

Please enter the name of the person you would like to honor with your donation.

First Last

Tributee's Address:*

Please provide us the mailing address of your tribute so we can notify then of your donation in their name.

Street Address Address Line 2 City State ZIP Code

A Message to Your Tributee:

Please include a note to who you are honoring. We will include it when we mail them a notification about your generous donation.

Payment

Consent to Transaction Fee

There is a small fee associated with every donation made. Please consider covering this fee for your donation.

Yes, I will cover the transaction fee for my donation.

Transaction Fee Amount:*

The amount below is the transaction fee that you have agreed to cover with your donation.

Price: $0.00

Total Donation:

Payment Information:*

CAPTCHA:

Please check this box so we know you're a human, just like us!

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Submission Date for Bloomerang

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Contact Us

131 35th Street SE
Rochester, MN 55904

507-287-2350

Weekly Food Shelf Hours

Mon 8 a.m. – 6 p.m.

Tues – Thurs: 8 a.m. – 6 p.m.

Friday: 8 a.m. – 12 p.m.
Sat and Sun: Closed

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Channel One Regional Food Bank, a registered 501(c)(3) nonprofit organization, serves southeast Minnesota and western Wisconsin.
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