Make A Gift - American Parkinson Disease Association

Every Gift Can Make a Big Impact.

No gift is too small to make a real difference. One moment of generosity leads to expanded programs, stronger support systems, more research, and brighter days for people affected by Parkinson’s disease.
Make an impact today.

1. Your Gift

Yes, this is an honor or memorial gift

Honor Gift Type:

Honoree First Name:

Honoree Last Name:

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

By mail

By eCard

No thank you

Notification Recipient Name:

Recipient Street 1:

Recipient Street 2:

Recipient City:

Recipient State/Province:

Recipient ZIP/Postal Code:

Recipient Country:

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

Organization Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal code:

Country:

Phone Number:

Email Address:

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

Email Interests: You may periodically receive email from us regarding the interests you select.

APDA News and Information

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

First Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

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