Partner Form : How To Help : Hall-Dawson CASA

Support Level

Amount

Name (as it should appear for recognition purposes)

First Name *

Last Name *

Address

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Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

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Phone

Payment Option

Cardholder Name

Credit Card #

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Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

If paying by check, please mail to:

CASA (Court Appointed Special Advocate)
Hall and Dawson Counties
P.O. Box 907471
Gainesville, GA 30501-0908