VDSA Donation Form

Loading....

Year End Giving Gift Catalog Donation Form

Your donation helps VDSA continue its growth in the community. By supporting our efforts, you’re helping to expand our reach; helping children and families develop a deeper understanding of Down syndrome, and connecting families to resources and friends in their community.

Select Your Amount

Make this donation recurring

$35
$50
$75
$100
$135
$150
$225
$265
$300
$500
$600
$1,050
$

Donation will repeat monthly.

$10
$25
$50
$75
$100
$

Increase my donation amount to cover fees

Your Info

First Name*

Last Name*

Address, line 1*

City*

State*

Zip Code*

Email Address*

Donation Dedication

None
In Honor Of
In Memory Of

Please provide the honoree's address

For donations received by December 15th, honorees will have a card mailed by December 17th in time for Christmas delivery. Donations received after December 17th may have card delivered after Christmas. You may select a card to print at home if you prefer.

Download card for at home printing

Yes, I would like to receive occasional text messages!
Message and data rates may apply. Message frequency varies depending on activity. Text HELP for customer care. Text STOP to opt out at any time. View the Privacy Policy and Terms & Conditions.

Home Phone

Cell Phone

I'd like to receive email updates from this organization

Payment Details

Payment Type:

Credit Card

eCheck

PayPal

Bank Account*

Name on Account*

Bank Routing Number*

Bank Account Number*

Card Number*

Security Code*

Expiration Month*

Expiration Year*

Name on Card*

Donate Now

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL

Public Name
Start Date
Venue Name
Event Address Line 1 Event Address Line 2 Event City, Event State

Checkout

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL

Take Action

Sorry, we're not targeting any representatives in your district. But, you can still help!

Edit this message to tell users that can't take action (because of their location) how to contribute. For example, consider adding a link to a petition or donation page that you have created, or add social sharing options so that these supporters can help get the word out on social media.

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL

THANK YOU!

Thank you for your belief in our mission and confidence in our organization. We value your financial support and hope to have your continued support in the future!

To learn more about VDSA programs and services, please visit us at www.virginiadsa.org.

A receipt has been emailed to you for your records. Please feel free to contact us at info@virginiadsa.org with any questions.

Tell Your Friends

Facebook

Twitter

Tumblr

ORGANIZATION NAME
ORG ADDRESS LINE 1 ORG ADDRESS LINE 2
ORG CITY, ORG STATE ORG ZIP
ORG CONTACT PHONE
ORG CONTACT EMAIL