Donation Card

You may use this on-line donation card to support the Rehabilitation Center for Children & Adults. Complete the form, click on the "Make Donation" button and someone will contact you from the Rehabilitation Center for payment information.

NAME:
PHONE:
E-MAIL:
AMOUNT:
$25 to help a child or adult
communicate with their family
$50 to help a child or adult perform
activities of daily living
$100 to help a child or adult to
walk independently
$2,500 to help sponsor average
treatment cost for one patient
$5,000 to provide a major
benefactor gift
Other

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-HELP-FLA (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. TAX DEDUCTIBLE NO. 59-0791037.


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