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DONATION – Step 1 of 2 ... You will be presented with a confirmation on the next screen.


Thank you for your tax deductible donation to MLD Foundation. Information on this form will only be used to properly receipt your donation and will never be sold, bartered or shared with any other organization.

If you wish to donate by paper check we request you fill in the following block and if desired, make a memorial/honor selection, then note the donor record ID on your check. Our mailing address and the donation ID will be supplied on the next screen.
About You:
First Name:
Last Name:
Email:

Email is optional ... but must be supplied to receive an electronic receipt from MLD Foundation
 
Donation amount: $  

► Click here if you wish to make a Memorial or In-Honor-Of gift...
Memorial and In-Honor-of-Gifts:
Type of gift: Memorial gift In Honor Of gift Standard donation
Honored/Remembered person:


If your honoree is listed here we already have the address to notify the family of your gift (never the amount, just that you gave).

► If your honoree is not listed above please click here to enter their details...
Please enter honoree's name.
First Name:
Last Name: Does/Did this person have MLD?
Send Acknowledgment to: (If you wish to have us notify the family of your gift (only that you gave, not the amount)
First Name:
Last Name:
Street:
City:
State/Provence:
 Postal/ZIP: Country:
Email (if known):
Phone (optional):
  


► Your gift is unrestricted, giving us the most flexibility to optimize its use. Click if you wish to restrict your gift to a specific purpose\t
Gift Designation
... Unrestricted gifts offer us the most flexibility to optimize the use of your donation.
... Connecting & supporting families)


... Michelle Pierce Memorial Newborn Screening & Policy Fund



► Click here if you wish to receive a paper receipt in addition to your electronic receipt ...
the information in this block about you is optional ... if you provide it we will send a Written receipt. The IRS requires a written receipt if you wish to deduct a gift of $250 or more.
Street:
City:
State/Provence:
 Postal/ZIP: Country:
Mobile/work Phone:
 Home Phone:
Employer (optional):
 Used only to check for a corporate matching gifts program to double or triple your gift.
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DO YOU WANT TO RAISE FUNDS for the work of MLD Foundation? We have an on online registration and donation Event Management System we would be happy to share with you at no cost to help your event run smoothly. Contact us by email or at +1 503-656-4808

(c) 2010- 20 MLD Foundation, an IRS approved 501c3 non-profit charity. Your donations are tax deductible. Address validation by SmartyStreets