donation

Text Box: If you support our mission and would like to help by making a donation, click here to donate online or complete the form below and then return it along with your donation. Thank you.

I would like to make a donation:

⁯ In Honor of ___________________________________

⁯ In Memory of ___________________________________

⁯ Thanks to ___________________________________ in newsletter

⁯ Anonymously

Letter of thanks and tax receipt should go to

(name) _______________________________

(street address) _______________________________

(city) ___________________ (state) _________ (zip) ___________

Letter to the family acknowledging donation given in memory should go to

(name) _______________________________

(street address) _______________________________

(city) ___________________ (state) _________ (zip) ___________

I would like my donation to be applied to the following program / programs:

⁯ National Conference Financial Grant

⁯ New Parent / Parent Support

⁯ Independence / Self-care Workshops

⁯ Media Awareness

⁯ Advanced Educational Scholarship

⁯ Resource Directory

⁯ Bowl-a-thon Awareness/Fundraising

⁯ Website & Electronic Networking

⁯ Where it is most needed

Mail form with check payable to “Spina Bifida Assoc. of AL” to

SBA of AL c/o P. Switzer

140 Lansdowne Drive

Madison, AL 35758