Promoting Choice, Self-determination and Total Participation

Serving persons with disabilities and Mid-Hudson communities since 1987

Donation Form

To make a contribution online, please fill out the following form, then proceed to the payment screen. If you prefer to make a donation via mail, please print out this form and mail with gift to:

Independent Living, Inc.
ATTN: Development Director
5 Washington Terrace
Newburgh, NY 12550

Subject:

*I would like to make a gift of $ by
(Credit cards are processed through Network for Good)
  
This gift is in memory of
This gift is in honor of
This gift is intended to support
  programs that Independent Living determines are in greatest need
  Independent Living's Capital Campaign.
  the Independent Living Fund.
  Unrestricted.
Please keep my gift anonymous.

Contact me regarding:

planned giving.
donations other than cash.
Your Name
Title:
*First Name:
*Last Name:
*Street Address:
*City:
*State:
*Zip Code:
* EMail:
Please let us know if we should notify someone of your gift.
Title:
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:

If you would like to include a comment from you in our note to the above, please write it here:

Enter code: Security image for email form.

* required field

 
 

5 Washington Terrace, Newburgh, New York 12550 map

Phone: (845) 565-1162 | Fax: (845) 565-0567 | Videophone: (845) 764-8384

© Independent Living, Inc. | Login | Site by Eclectic Tech, LLC