Please print and mail this form with your donation to The Prevention Partnership, The Consultation Center, 389 Whitney Avenue, New Haven, CT 06511. For more information, please email The Consultation Center or call (203) 789-7645.
Enclosed is my donation of $____________.
GIVING LEVELS
Founder ($10,000+)
Benefactor ($5,000-$9,999)
Patron ($2,500-$4,999)
Partner ($1,000-$2,499)
Sponsor ($500-$999)
Supporter ($250-$499)
Donor ($100-$249)
Friend (Under $100)
Please make checks payable to the The Consultation Center, Inc.
Thank you for supporting The Prevention Partnership.