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Do you have a basket, service, item or a 2-7 day timeshare that you would love to donate to support the work at Safe Haven Maternity Home?

Fill out the form below and we will be in contact with you.

If you have any questions, please call Gina Jones at our office 541-464-2740 or email her at safehavenmaternity@gmail.com

Donate Items

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*