One moment please...
Donation Amount
*
$500
$250
$100
$50
$
Donation Schedule
One Time
Monthly
Your Name
*
Prefix
First Name
Last Name
Suffix
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Is this a tribute gift?
select one
in honor of
in memory of
Tribute Information
Tribute Name
*
First Name
Last Name
Please notify:
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Dedication
Anonymous
I wish to keep my gift anonymous.
How did you hear about EIDS?
*
Please check all that apply
From a friend
From my physician
Dash for Down Syndrome
Other
Subscribe
Please subscribe me to your mailing list. I understand that I can unsubscribe at any time
Yes
Add 3% to my total amount to help cover the payment processing fees