COVID-19 Relief Fund

In reaction to the spread of the novel Coronavirus, Rocky has established a COVID-19 Relief Fund to provide emergency items for our clients. Emergency items include toiletries and shelf-stable groceries. If you would like to make a contribution to help those in your community who are most acutely affected by this challenging pandemic, please use the form below. Your generosity is a tremendous act of kindness.

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Donation Amount

1. $100
2. $50
3. $25
4. $10
5. Other

If "Other" please use "Other Amount" field.

Other Amount

$

First Name (Required)

Last Name (Required)

Email (Required)

Mailing Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Make this a monthly payment?

1. Yes, bill my card today and on the 5th of every following month.

Make this a monthly payment?

Comments

We would like to celebrate you as one of our donors. Can we use your name, donation amount, and comments for publications? This could include for our website, social media, and print publications.

1. YES!
2. No, I would like to remain anonymous.

Your total payment will be