Request a Donation Confirmation Receipt

Thank you for your donation! Your donation will help to fund programs and services for people with disabilities and other challenges. For more information about our programs, please click here.
After filling out the form below, you will be able to download our donation receipt. 

We do not sell, trade, barter or share donor lists or our donor’s private information with any other businesses or people. To read our privacy policy, please click here.

Request a Donation Confirmation Receipt

Donor Information

Please enter your first name.
Please enter a valid email address. We will never share it with anyone else!
Please enter your home address.
Your town/city
Your state
Your 5-digit ZIP

Donation Details

Please select the location of your donation.
Please enter the date of your donation in the format MM/DD/YYYY
Please enter a brief description of your donation.