Donation

EXTENDED!!!

During this campaign, you can help us provide
MORE resources and MORE services to MORE people with aphasia!
For a donation made during this fund-raising campaign, you will receive a
thank-you gift that can be used to continue raising awareness.

To read more about each gift, click here.

About your donation

This is a one time donation

Make this a recurring donation deducted

Suggested Donation Amounts:

$15 per month

$25 per month

$50 per month

$100 per month

A donation of any amount is greatly appreciated!

$25 - receive a Voices of Hope for Aphasia wristband as our gift (indicate blue/green in Comments)

$50 - receive a Voices of Hope for Aphasia Car Magnet as our gift to you

$100 - receive a set of Voices of Hope for Aphasia Notecards

$500 - your name will appear on a Silver Leaf on the Giving Tree in our lobby

$1000 - your name will appear on a Gold Leaf on the Giving Tree in our lobby

$5000 - you will receive a special dedication at our new center

A donation of any amount is greatly appreciated!

Keep this donation anonymous: Thank you gift:

I prefer not to receive the gift. Thank you.

Comment:

Your contact information

First Name: Last Name: Email: Phone: Address: City: State: Zip: -

Acknowledgments and Tributes

Is this donation in someone's honor or memory?

Tribute Type: Tribute Name:

Complete this section if you would like an acknowledgment of your gift to go to someone.

Acknowledge To: Address: City: State: Zip Code: -

Thank you for caring about the over 2 million people in the United States who are living with aphasia.

Billing Information

Payment method: Credit Card
American Express

E-Check PayPal Pay Later

You can pay by credit card here, OR check the box to pay by check.

Card:

Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Zip Code: - Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

E-Check Billing Information

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Click this button to make your payment via PayPal.
Note: You will be redirected here once your payment is processed by PayPal.

Check this box if you would like to pay by check

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Neon CRM by Neon One

Donation

EXTENDED!!!

During this campaign, you can help us provide MORE resources and MORE services to MORE people with aphasia! For a donation made during this fund-raising campaign, you will receive a thank-you gift that can be used to continue raising awareness.

To read more about each gift, click here.

About your donation

Your contact information

Acknowledgments and Tributes

Is this donation in someone's honor or memory?

Complete this section if you would like an acknowledgment of your gift to go to someone.

Billing Information

During this campaign, you can help us provide
MORE resources and MORE services to MORE people with aphasia!
For a donation made during this fund-raising campaign, you will receive a
thank-you gift that can be used to continue raising awareness.