Online Donation

Your donation will directly support people with Parkinson’s Parkinson Association of the Rockies is a 501 (c)(3) Colorado non-profit corporation and our Federal Tax ID# is 74-2212593. How your donation will be used: Your donation allows us to deliver programs and services that people with Parkinson’s disease rely on. Here are examples of what your donation will do: $500 will pay for six weeks of an exercise program $250 will provide medical equipment to a family in need $100 allows us to sponsor in-home visits for patients and caregivers $50 helps to promote support groups
Donor information
First name*
Last name*
Organization
Address*
Address 2
City*
Country*
State*
Zip*
Phone*
Email*
Donation Information
Invoice #
My gift is in honor of
My gift is in memory of
Donation Type	One Time Recurring
Donation frequency
Number occurrences
Amount	$500.00 $250.00 $100.00 $50.00 $20.00 $
Payment method	Elavon
Credit Card Number*
Expiration Date*	/
Card (CVV) Code*
Card type*
Card Holder Name*
Bank ABA Routing Number*
Bank Account Number*
Bank Account Type*
Bank Name*
Account Holder Name*
Please send notification of my gift to (name & address)
Comment