Sexual Assault Awareness Yard Sign Request Form

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You can help raise awareness about the devastating impact of sexual assault in the Charlotte community by displaying Safe Alliance yard signs on your property! Display these signs during Sexual Assault Awareness Month this April, and beyond, to help us spread our mission of hope and healing in Mecklenburg County.

Yard signs will be available for pick up in March or, for a donation to support survivors, for delivery in late March, and we ask that you display them throughout the month and beyond to let survivors know there is hope. The deadline to reserve yard signs is Thursday, March 25.

Pickup options
Stop by Safe Alliance's office (601 E. 5th Street, Suite 400, Charlotte NC 28202) in March during the following times:
Monday 9:00 am - 5:00 pm
Tuesday - Thursday 10:00 am - 5:00 pm
Friday 9:00 am - 12:00 pm

Or you'll be able to pick up yard signs at our office on Saturday, March 27, 9:00 am - 12:00 pm.

Delivery option
For a donation of $10 or more to support Safe Alliance's life-saving services, we will deliver your yard sign(s), within Mecklenburg County, to you by March 31!

Contact Information

Name *
# of Signs Requested *
Would you like to pick up your yard signs or request delivery? *
Address *
City *
State *
Zip *
Email Address *
Phone Number *
By checking this box, you verify that we are allowed to place the yard signs in the intended location. *

If requesting delivery for a donation of $10 or more please fill out the fields below, otherwise enter $0

Donation
$

Please enter your Contact Information

First Name *
Last Name *
Email *
Phone *
Address *
Country *
City *
State/Province *
Zip/Postal *

Please enter your Billing Information

We accept the following cards
         
Name on Card *
Card Number *
Card Expiration Date *
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Card Verification Value (CVV) *
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Same as Contact Information
Billing Address *
Country *
City *
State/Province *
Zip/Postal *
Would you like to cover the transaction processing fee?
Yes   No
Your Donation:
Processing Fee:
Total Payment:

  $0.00

In an emergency please dial 911

Call the Greater Charlotte Hope Line 24/7 for info on parenting, domestic violence and sexual assault 980.771.4673.

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