Donation Form

YES, I want to empower, connect, and celebrate individuals with Down syndrome and their families!

I would like to support the organization with a gift of:

Type of Donation

One Time DonationRecurring Donation

I would like my donation to remain anonymous

Contact Information

First Name

Last Name

Company Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

DSAMn Refund Policy
After payment has been made for event/class/program:

14+ Days Prior* to start date of event: 100% Refund

8-14 Days Prior* to start date of event: 50% Refund

Less Than 7 Days Prior* to event: No Refund can be Provided

DSAMn classes need a minimum enrollment to run. We may need to cancel low-enrollment classes. If you register for a class that is cancelled you will notified and fully refunded within 5 business days of cancellation.

Program Scholarships and Financial Support

Cost should not be a barrier to participation in any DSAMn program. All our programs are offered on a sliding fee scale based on Federal Poverty Level Guidelines. Families living at or below 200% if FPL are eligible for the sliding scale.
If fees are an issue for any family even if you do not meet the guidelines above, please email [email protected] - we can help.