If When How & Repro Legal Defense Fund Dedication Form
Thank you for making a donation in honor, memory, or on the behalf of someone. Please fill out the form below after completing your donation to ensure your dedication is noted and notification emails are sent. 

If you have any questions, please reach out to Julia Warren at Julia@ifwhenhow.org
Sign in to Google to save your progress. Learn more
Email *
What is your name? 
What was the amount of the donation you are dedicating?
How did you allocate your gift?
Clear selection
Is this donation in honor, in memory, or on behalf of someone?
Clear selection
What was the date of the donation you dedicating?
MM
/
DD
/
YYYY
What is the name of the person your dedicating this donation to?
Do you want a dedication notification to be sent?
Clear selection
If yes, what is their email address?
If you would like to send a note with your dedication, please write it below 
Any other questions or comments?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of If/When/How. Report Abuse