graphic: CFPC logo

 Pic of boy with Down Syndrome   Pic of high school student   Pic of girl in wheelchair   Pic of baby   Pic of girl

                   

           

 

               

 

 

 

DONATION FORM - Donation by Check

 

Just fill out the form below, then drop your check in the mail.

 

Yes, I would like to be acknowledged on the CFPC Partners/Donors web page.

No, I would prefer that my donation be kept anonymous.

 

    I'd like to make a donation for:

 

    The Ronald McDonald House Program

 

    I'd like to sponsor one family for dinner ($5.00)

    I'd like to sponsor multiple families for dinner  ( # of families: x $5.00 each )

    I'd like to sponsor a full gift basket. ($25.00)

    I'd like to contribute toward expenses.  Amount: $

 

    The Family Cafe Conference Program

 

    I'd like to sponsor a family to attend Family Cafe.  ($550)

            Hotel: 3 nights x $109  +  Mileage: 100 mi. x .44 mi + Meals: 3 days x $60 day

    I'd like to contribute toward sponsoring a family to attend Family Cafe

            Amount: $    

 

    Central Florida Parent Center

 

    I'd like to help CFPC to assist more families! 

 

    I'd like to be a CFPC Partner - $25.00

    I'd like to be a CFPC Bronze Partner - $50.00

    I'd like to be a CFPC Silver Partner - $100.00

    I'd like to be a CFPC Golden Partner - $250.00

    I'd like to contribute a different amount:  $

 

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    Please enter the total amount that you would like to contribute:  $

 

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    Billing Information

 

    First Name:   *

 

    Last Name:    *

 

    Email address:    *

 

    Address Line 1:  *

 

    Address Line 2: 

 

    City:    *    State:    *     Zip:    *

 

    Country:    

 

    Phone:    *

 

 

 

 

 

Mission Statement    Organizational Philosophies    AWARE

Regional Collaboration  Staff  ◊  Board of Directors 

 

 

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