I WANT TO MAKE A CONTRIBUTION

 

 

 

 

 

 

 

The Arc appreciates your contribution and would like for you to consider giving monthly!  To ensure the security of your private information, please email us your name and daytime contact information. Someone from The Arc will be in touch with you within two business days.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you prefer please complete this form and someone form the Arc will contact you to confirm details.

 

 

 

 

 

 

First Name     Last Name  

 

 

 

 

 

 

 

 

 

 

Street Name     Apt # 

 

 

 

 

 

 

 

City      State      

 

 

 

 

 

 

Phone number  day time     

 

 

 

 

 

 

 

Cell Phone number       Email 

 

 

 

 

 

 

 

I want to make a monthly contribution of $

 

 

 

 

 

I would prefer being contacted by  

 

 

 

 

 

 

 

 

 

 

    ONE TIME GIFT  

                 $25.00    

                 $35.00      

                 $55.00                   

                 $75.00    

               $100.00    

               $150.00     or, Another $ amount....

 

  To DESIGNATE $ to a particular program/activity   (See next paragraph)

When you check out you will be asked to enter info about your designation. Please choose one of these program codes: 680-Advocacy & Intervention, 360-Adventure Camp, 440-Community Living Skills, 680-Guardianship, 480I-Information & Referral, 440L-Leadership Institute, 480P-Parent/Sibling Education, 820-Hispanic Outreach, 8670-My Possibilities,
or other purpose to you wish to designate funds.

I

     BECOME A MEMBER OF THE ARC OF DALLAS     

       Circle of Leaders                                      ($101 up)      

       Guiding Member                                      $100            

       Sustaining Member                                   $50            

       Supporting Member                                 $25            

       Member                                                        $15           

       Self-Advocate Membership                     $11           

           

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12700 Hillcrest, Suite 200 * Dallas, TX 75230

214/634-9810  Fax 214-634-9815
Email: info@arcdallas.org