b'0 My check is enclosed(payable to Granite State Childrens Alliance)0 Please charge my credit cardI pledge to help child victims become survivors with my gift of:0$1000$2500$500 0$1,000 0Other $________________Donor Name/In Honor of _________________________ Address ________________________________________ City, State, Zip ___________________________________ Email ___________________________________________ Phone __________________________________________Cardholder Name _______________________________ Card # _________________________________________ Exp. Date________________ Security Code _________0 Please make this a recurring gift:0 Monthly 0 Quarterly 0 Semi-Annually 0 Annually0I do not wish to be publicly acknowledged for my gift.'