Assistance League of Indianapolis · Donate to Assistance League of Indianapolis-Stripe&Paypal

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Contact Information

Name

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First Name

Last Name

Email

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Address

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Address Line 1

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City

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Phone

I am responding to/supporting the following fundraiser:

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Mission Possible Spring Fundraiser

Holiday Luncheon/Event

Operation School Bell Fall Fundraiser

Golf Outing

Community Newsletter & Annual Report

Other/Unsolicited

Please share the name of the Assistance League member who referred you:

Please share how you would like this donation to be used (greatest need, a specific program, etc.)

Is this donation a Memorial or Tribute?

Memorial

Tribute

Please share the name of the Deceased:

Please share the address of the family of the Deceased so they may be notified.

Please share the name of the Honoree:

Please share the address of the Honoree so they may be notified.

Please share any additional information about your donation.

Please keep my donation anonymous:

Anonymous