Online Giving Form

Thank you for your gift to the Alzheimer's Alliance of Smith County! We are committed to walking with all those in our community affected by Alzheimer's disease and related dementias with programs and services that include personal consultations, memory screenings and neuropsychological testing, support groups, respite care, a tracking and identification system for wanderers, educational workshops and seminars, physician outreach and in-service training for health and medical professionals, a comprehensive resource library, and client and caregiver advocacy.

We are an independent, local nonprofit that is not formally affiliated with any national organization. This means every dollar raised here stays here to directly support programs and services for families, friends, and neighbors in Smith County.

If you have any questions about your gift, please contact our office at (903) 509-8323 or info@alzalliance.org.

Please Complete All Information
I would like to schedule this donation to occur:
One-time/Single Monthly Quarterly Semi-Annually Annually

Start Date:
,
,
End Date:
,
,

Designate fund amounts:
Annual Fund
Project Lifesaver
Education
Auxilliary (ASAP) Membership ($25)
Wonderful Wednesdays Day Club
Respite Care for Caregivers
Special Event: Butterfly Hope Luncheon
Special Event: Butterfly Release
Special Event: Mah Jongg for Memory
Special Event: Annual Conference
 
Total donation amount:   $0.00  (U.S. Currency)

I would like this gift to be:
Memorial Gift Honor Gift Anonymous Donation
Name of whom your gift is in memory/honor of:  

Please provide the name and address of the person(s) recognized with your memorial or honorarium so we may notify them of your generous gift:
500 characters left

Please Choose One of These Payment Options

Credit Card & Check/Debit Card
Bank Account Transfer (ACH)
 
Visa Mastercard Discover American Express
Account NumberAccount Number
Account number
Routing NumberRouting Number
Routing number
* All donations provided to Alzheimer's Alliance of Smith County comply with U.S. laws and regulations.

Please Enter Your Contact Information Below
Fields marked with * are required to complete your donation.

Donation From:


Prefix
FirstName *
Last Name *
Suffix
( ) -




EFT corporation
www.alzalliance.org
© Copyright 2017
Alzheimer's Alliance of Smith County
All Rights Reserved