Domestic Violence Clinic
Card Order Form

Your information:

Name:
Address:
Phone:
Email:
Please specify one or more card recipients below ($50/card).    Click to view card choices.

Please check here if you are a UO Student ($10/card)

Recipient 1:

Please send the following person
the Joy Card or
the Rejoice Card
Valentine's Day Card
Name:
Address:

Recipient 4:

Please send the following person
the Joy Card or
the Rejoice Card
Valentine's Day Card
Name:
Address:

Recipient 2:

Please send the following person
the Joy Card or
the Rejoice Card
Valentine's Day Card
Name:
Address:

Recipient 5:

Please send the following person
the Joy Card or
the Rejoice Card
Valentine's Day Card
Name:
Address:

Recipient 3:

Please send the following person
the Joy Card or
the Rejoice Card
Valentine's Day Card
Name:
Address:

Recipient 6:

Please send the following person
the Joy Card or
the Rejoice Card
Valentine's Day Card
Name:
Address:



Optional Other Giving

The University of Oregon's Domestic Violence Clinic needs your help to help others. Please consider making an additional gift. A gift of $100 can mean that a low-income victim of domestic violence, stalking, or sexual assault receives the assistance of an advocate who can safety plan with her and refer her to other services. A gift of $500 means a victim can have legal representation through trial by law students and an attorney-supervisor. A gift of $1000-$5,000 can help a mother get custody, child support, and a divorce. A gift of $10,000 or $25,000 can help endow the Domestic Violence Clinic so that this wonderful service and training is available forever, or until the violence ends.

If you would like to make an additional gift, please designate the amount here:

We will call you to get your credit card information for payment.
Please give us the best phone number for reaching you:

Alternatively, please fax your credit card information to 541-346-3995. You can also send a check, made out to UO Foundation, to:
University of Oregon School of Law
c/o Professor Weiner
1515 Agate St.
Eugene OR, 97405

I will be faxing or sending payment. Please do not call me for my credit card number.

Please realize that we need to receive payment before we can send out the cards.

Thank you! On behalf of the clients we serve, thank you very much for helping to make Oregon safer.

The UO Foundation will be sending you a confirmation of the amount received for your tax records.