MATCH INCREASED:
Fuel 5X the Hope

Your generosity is a powerful force for change, especially while your gift can help us do 5X MORE for people affected by Parkinson’s disease. Help us reach our $150,000 goal!

1. Your Gift

Yes, this is an honor or memorial gift

Honor Gift Type:

Honoree First Name:

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Would you like to send a notification by mail or email?

By mail

By eCard

No thank you

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Yes, I would like to send an eCard.

Recipient email addresses:

Select an eCard:

eCard Subject:

eCard Message:

Yes, send me a copy of the eCard.

2. Donor Information

First Name:

Last Name:

This is an organization gift

Yes

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Please keep me informed of the American Parkinson Disease Association's efforts via email

Please text me information and news from the American Parkinson Disease Association

Yes

3. Company Matching

Does your employer have a corporate matching gift program? Please use the field below to search if your employer will match your personal donation. If this does not apply to you, please skip this section.

4. Billing Information

Use the donor information as the billing information

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5. Payment Information

Your gift today will have a meaningful impact on the lives of people with Parkinson's disease and help provide the resources and research that will make a true difference.

Prefer to donate by check or phone?

Download and print the PDF Donation Form here. Mail or email your completed form to the address below, or call us at 800-223-2732 to make your donation over the phone.

American Parkinson Disease Association

P.O. Box 61420

Staten Island, NY 10306

E-mail: apda@apdaparkinson.org

MATCH INCREASED: Fuel 5X the Hope