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Partners in Personal Assistance

Donations

 
Partners in Personal Assistance is grateful to have enthusiastic and generous contributors who support our vital mission. We feel our programs sustain the integrity of both Consumers with Disabilities and their Personal Assistants while promoting self-determination.  We will continue to empower all those within PPA to retain decision-making power in their lives. We welcome your support and encourage everyone to utilize our services, whether it's for you, your friends or your loved ones.
 
Donation Form
Title:
First Name*
Last Name*
Organization
Address
Address 2
City
State
Country
Zip
Home Phone
Cell Phone
Fax
E-mail*
Amount of Donation*
(Format for "other" amount does not include dollar signs, commas, or decimal point.)
$10
$20
$40
$80
Other 
Donation One time donation
I would like to make this a recurring monthly donation
Privacy Provide my name and e-mail address to the charity
I prefer to make this contribution anonymously
Designation (optional) To designate your donation for a specific purpose, please enter a description of how you'd like your donation to be used.
Dedication (optional) To make a donation in memory of another person, please enter the person's name
To make a donation in honor of another person, please enter the person's name
Questions/Comments

Enter in the Code exactly as you see it before clicking the 'Submit' button.
*Indicates required field
 
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