ElderCARE
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Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Amount
*
$10
-
Provides a homebound senior with an assurance telephone call
$20
-
Provides roundtrip transports to two medical appointments
$30
-
Provides a homebound senior with a friendly visit from a volunteer
$40
-
Provides full service grocery delivery to a homebound senior
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Notes about your gift:
Add 3% to my total amount to help cover the payment processing fees