JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Friend of the Artemis House
We're so excited to welcome you on as a Friend of the Artemis House! Please help us by filling out the following details about you and your participation.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Mailing Address
*
Your answer
Phone number
Your answer
What ways would you like to get involved in supporting the Artemis House / Victims of Violence Intervention program?
Educate yourself about the realities of domestic violence and/or sexual assault
Become an Artemis House/ VVIP Ambassador in your community. This entails acting as a liaison between stakeholders in your community (like schools, other non-profits, community events) and the Artemis House.
Host a coffee awareness event on the Artemis House/VVIP for your friends and community
Join a local fundraising committee
Other:
Which monthly giving option do you want to sign up for?
*
Friend - $5/month
Good Friend - $15/month
Best Friend - $25/month
Other:
Which payment method do you prefer?
Monthly credit card payment
Check
Other:
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Artemis House.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
