SHOW YOUTH YOUR SUPPORT!

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Purchase a paver to show your support to youth! Customize your message!* Every day youth in crisis will see your dedication and care. Pavers will be installed at our Albany House and Corvallis House 24/7 Shelters.

We are offering two different sizes of pavers.

Complete Section 1 of this form to purchase a 4"x8" paver for $125 (or $10/month).

Complete Section 2 of this form to purchase a 12"x12" paver for $500 (or $40/month).

THANK YOU for your ongoing care and support of local youth!

Contact Hannah with questions: hannah.miller@jacksonstreet.org / 541-745-4553

I WOULD LIKE TO PURCHASE A 4"x8" PAVER

$125 or $10/month

Please tell us what you'd like your paver to say! You can have up to two (2) lines with fourteen (14) characters per line.

PAYMENT OPTIONS FOR 4"x8" PAVER

Details on how to complete the payment options outline below will be emailed to you after you submit this form.

Payment Options

I will make a one time donation of $100 online at www.jacksonstreet.org

I will set up a monthly donation of $10/month online at www.jacksonstreet.org

I will mail a check for $100

I will set up a monthly funds transfer from my bank

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This form was created inside of Jackson Street Youth Services. Report Abuse

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