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Amount
*
$1,000
-
Support the Resource Center for 1 week
$500
-
Support a First Responder Training Program
$250
-
Provide scholarships for 5 students at Swim Safety Classes
$100
-
Allow a family of 4 to attend a Family Fun Event
$50
-
Help distribute 5 "Where Do I Begin?" kits to newly diagnosed families
$25
-
Support Pathfinders for Autism Self-Advocate Trainers
$10
-
1 Safety Kit for Families
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Weekly
Bi-Weekly
Bi-Monthly
Contact Information
Is This Donation From an Individual or Organization
*
Individual
Organization
Organization/Employer
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Is this an In Honor Of or In Memory Of gift?
*
Yes
No
Tribute Type
*
select one
In Memory
In Honor
Tribute Name
*
Name of the person the gift is being made in honor/memory of
Would you like to send a notifcation of this donation?
*
This will be sent to the honoree or to the family of those memorialized
Yes
No
Notification Name (Who should we notify about your donation?)
*
First Name
Last Name
Notification Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Comments
Go Paperless
*
Receive donation receipts via email
Yes
No
Go Paperless?
*
Receive donation receipts via email
Yes
No
Go paperless
*
Receive donation receipts via email
Yes
No
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