Healing is Possible Fund

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At The Peacock Foundation, we are thrilled to have you support this pivotal part of our mission. We will be sending you an invoice via Paypal shortly to complete your donation. Therapy is an important key to healing and removing the financial barrier will encourage those in need to seek it out.

First Name *

Last Name *

Email Address *

Address (City, State, Zip) *

Phone *

Amount of Donation *

$25

$50

$100

Other:

Would you like this to be a reoccurring monthly donation? *

Yes (please skip next question)

Yes, but a different amount (please answer following question)

Not at this time (please skip next question)

What amount would you like to be a reoccurring monthly donation?

What state would you like to support with your donation? *

Iowa (please indicate which county, if any, you would like funds to go to)

Illinois (please indicate which county, if any, you would like funds to go to)

Any State In Need

Other:

Required

Iowa County

Illinois County

If you indicated a specific county for your funds to go to, if there is a higher need in a neighboring county, do we have your permission to support that county if needed.

Yes

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Could you please share the reasons you have chosen to support the "Healing is Possible" Fund?

Is it okay to share on our media outlets your reasons why?

Yes, please answer the next question.

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If posted, is it okay to use your initials on the post?

Yes

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