DONATION HONOR OR MEMORY FORM

Whether you are a previous US Autism & Asperger Association supporter or are giving for the first time, thank you for your commitment to the USAAA mission: Your donation enhances the quality of life of individuals and their families and caregivers touched by autism spectrum disorders. USAAA provides educational and family support through conferences and workshops as well as through published and electronic mediums. USAAA distributes information with regard to medical/biomedical and behavioral, developmental, and educational interventions, adjunct therapies, and research to parents, practitioners, students, individuals with ASD, teachers and everyone who is associated with the autism and Asperger's communities.

In Memory
Remember someone special by giving a gift in his or her memory. US Autism & Asperger Association will send a card or ecard acknowledging your thoughtful donation to the person of your choice.

In Honor
Give a gift to honor someone close to you for a birthday, an anniversary, a wedding, to celebrate a birth of baby, a bar or bat mitzvah, or other special occasions. US Autism & Asperger Association will send a card or ecard acknowledging your thoughtful donation to the person of your choice.

1. Please complete the information below, then click submit.

2. Click here to return to the donation page, select the donation amount, add it to the cart and submit for payment.



DONOR INFORMATION (The individual submitting the donation)

Your First Name:
Your Last Name:
Your E-mail Address:
Re-enter Your E-mail Address:
Your Mailing Address:
Your City:
Your State/ Province:
Your Country
Your Zip code:
Your Telephone Number

Please send an acknowledgement of my donation to:
RECIPIENT INFORMATION
(The individual receiving the card or e-card)
Recipient Name:
Recipient E-mail Address:
Recipient Mailing Address:
Recipient City:
Recipient State/ Province:
Recipient Country
Recipient Zip code:
Recipient Telephone Number

The donation is in memory /honor of:
In Memory of:
In Honor of:

I would like an acknowledgement card sent to the recipient and a copy to me (please check one):
via email

Comments:


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