Preserving Independence, Hope, and Dignity since 1967

Donation Form

To view the Donation Form, please click donate-form.pdf.

The Donation Form requires Adobe Reader for viewing and/or printing.
If you do not have Adobe Reader it can be obtained at:  www.adobe.com.
(This is a printable document) 

If you would like to apply now, click on the box below.
 
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Serving Florida: Hillsborough, Manatee, Pasco, Pinellas, and Sarasota Counties.
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