Donation Gift E-voucher

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Thank you for choosing Salam LADC to provide a very special gift for the most vulnerable people this winter in Lebanon in the form of a Gift E-Voucher. Buy purchasing this voucher, you will be making a gift donation in someone else's name. There is no better gift than supporting people in need.

Before you request your Gift E-Voucher, please fill in the donation form on our Donorbox page: https://donorbox.org/emergency-support-for-the-south-of-lebanon

Once you have submitted your donation, please fill in the Google Form below. We will gather your information in this form and, in relation to your responses, we will create a personalised 'Gift E-Voucher' sent to your email for you to share with your beloved friend/colleague/family member.

Thank you 🕊️

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Merci d'avoir choisi Salam LADC pour offrir un cadeau très spécial aux personnes les plus vulnérables cet hiver au Liban sous la forme d'un bon cadeau électronique assorti. Il n’y a pas meilleur cadeau que de soutenir les personnes dans le besoin.

Nous rassemblerons vos informations dans ce formulaire et en fonction de vos réponses, nous créerons un 'Cadeau E' personnalisé envoyé à votre adresse e-mail pour que vous puissiez le partager avec votre ami/collègue/membre de votre famille bien-aimé... Merci 🕊️

Your full name *

Email address *

Gift recipient full name *

Donation amount *

Donation date *

YYYY

Which gift(s) would you like to donate on behalf of someone? (If other, please specify in detail) *

$5 provides one blanket for a family

$15 provides one coat for a child

$30 provides one food parcel for a family

$80 provides heating for one family for one month

Other:

Do you have a personalised message you would like to include on the E-voucher?

Yes

Write your personalised message here

Please choose you preferred Gift E-Voucher

Option 1

Option 2

Clear selection

Do you consent for your donation to be made on behalf of someone else? *

I consent

I do not consent

Please use this space to add any additional comments

Submit

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