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One-Time Donation Form

Thank you for helping ParentsCAN to ensure that every family can find the acceptance, education and assistance necessary to help their child reach their full potential!

I would like my gift to be:

Donation options
Please tell us the name of your loved one here:
If you would like us to send an acknowledgement of your donation to someone, please enter their name and address here:

Donation Amount
Contact Information
Credit Card Information
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Visa®, Mastercard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Make this a monthly payment?
Make this a monthly payment?

Our organization takes privacy seriously and we work to protect and ensure the safety of our supporters. We do not sell or otherwise disclose information about our volunteers or supporters outside of our immediate organization. This policy has no exceptions. We do not sell or exchange your information with any other organizations, public, private or nonprofit.

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