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* 1. What is your name?

* 2. How did you learn about New Beginnings?

* 3. What inspired you to make your first gift?

* 4. Share your story! Tell us about your experience with New Beginnings or why you support survivors of domestic violence in our community.

* 5. There are many ways to contribute to New Beginnings. Please check the boxes below if you are interested in further information on:

* 6.  Other feedback/comments: