Your gift to the Little Red Stocking fund will help provide a safe and loving home for a child. More than 3,000 children are awaiting adoptive homes right now in North Carolina. More than 10,000 children reside in foster care.

All children deserve a safe and loving home and a permanent family. Thank you for making a difference in the life of a child.

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Contact information:

* First Name:

MIddle Initial:

* Last Name:

Suffix:

* Street Address:

Address 2:

* City:

* State:

* Zip:

* Phone Number:

* E-Mail:

Payment information:

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Credit Card Type

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Name as it appears on card

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Credit Card Number

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Exipration Date

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Year:

Please select the type of gift you are giving to CHS (choose one):

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Gift Type:

In honor or memory of:

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My gift is in the amount of:

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Please inform the individual or family listed below of my gift:

Name

Address

Address 2

City

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Zip

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