Black History Month

GIFT CARD E1 ORDER FORM

  • WHERE TO SHIP CARD? *
    directly to gift recipient
    to you, the donor
    We can send the card directly to your recipient. It will have an insert that says a donation has been made to Village of Love in their name and will explain how the gift helps AIDS orphans. Or we can send YOU the same material for you to add your personal message in the card
  • YOUR GIFT RECIPIENT'S NAME
    First
    Last
     
    Only fill out if you want the card shipped directly to your gift recipient.
  • YOUR GIFT RECIPIENT'S MAILING ADDRESS
    Street Address
    Address Line 2
    City
    State / Province / Region
    Zip / Postal Code
    Country
     
    Only fill out if you want the card shipped directly to your gift recipient.
  • YOUR NAME *
    First
    Last
     
  • YOUR MAILING ADDRESS
    Street Address
    Address Line 2
    City
    State / Province / Region
    Zip / Postal Code
    Country
     
    Fill this out only if you want the card shipped to your mailing address.
  • NUMBER OF CARDS
    You are welcome to order multiple cards, but please remember that you need to donate at least $20 per card. Thank you for your understanding! If you want several DIFFERENT cards to be shipped to your home address, you can explain what you want in the comments box below. Please be sure to use the code for each card.
  • YOUR E-MAIL ADDRESS *
    We will use this to communicate with you about your order, if necessary. It will not be used for any other purpose, unless you give us permission (see below).
  • MAY WE ADD YOU TO OUR E-NEWSLETTER LIST?
    Yes please
    not at this time
  • COMMENTS
    Is there anything you would like us to know about your gift card order?