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Your Donation Makes a Difference

Every donation to The Center for Individuals with Physical Challenges contributes to our ability to make a significant difference in the lives of the youth and adults we serve. Your gift supports all that The Center is able to offer people with physical challenges.

How much would you like to donate?

Donation Amount *

• $50
• $250
• $500
• $1000
• Other

Donation Type *

One-time Donation

Monthly Donation

Donation Purpose *

General Support

Building on a Legacy Capital Campaign

Get Centered Coffee Company

PERSONAL DETAIL

Name

Name

First

First

Last

Last

Organization (if applicable)

Email *

Phone Number

Address

Address

Street 1

Street 1

Street 2

Street 2

City

City

State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State/Province

Zip/Postal

Zip/Postal

eNewsletter

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Anonymous

Please keep my donation anonymous.

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Donation Honor/Memory

My donation is honor of

My donation is in memory of

My Donation is in Honor/Memory of:

Additional Details About Gift

Please mail an acknowledgment of my donation to:

Please provide the name, mailing address, or email of people to be informed of your donation

Credit Card

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Ways To Give:

Unrestricted Financial Gifts: Unrestricted gifts support the overall financial health and wellness of The Center and contribute to programming, staffing, facility maintenance and administrative support.
Restricted Financial Gifts: Restricted gifts support a specific program, project and/or purpose. The Center will utilize a restricted gift in accordance with the donor’s wishes.
In-Honor or In-Memory of Gifts: Gifts in recognition or memory of someone special. These gifts can be unrestricted or restricted and the gift will be acknowledged in accordance with the donor’s wishes.
Planned Giving: Stocks, Life Insurance, Unrestricted Bequests, and Retirement Plan Assets, etc. More Info.