Association for Conductive Education and Related Services, Inc.
Saturday, March 13, 2010  
 
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Donations


We offer tuition based Conductive Education Programs. Your contribution will help us to provide affordable CE services for the children and their families. If you would like to contribute, we would welcome a check or you may use your credit card to offer a donation by filling out the form below. All donations are tax deductible.

Please complete the form below with your donor information.
ACERS, Inc.   PO Box 217 Middletown, NJ 07748
Phone: 1-800-307-7711    E-mail: info@acersi.org
 
Donation Form
Title:
First Name*
Last Name*
Organization
Address
Address 2
City
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Zip
Home Phone
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E-mail*
Amount of Donation*
(Format for "other" amount does not include dollar signs, commas, or decimal point.)
$25.00
$50.00
$100.00
$200.00
Other 
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Donation One time donation
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To make a donation in honor of another person, please enter the person's name
Questions/Comments

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