Donation Form
Thank you for helping PACER Center carry out programs for children and adults with disabilities
Please send completed form and contribution to: PACER Center, 8161 Normandale Blvd., Minneapolis, MN 55437
I support PACER's programs for parents of children and young adults with disabilities and their families. Enclosed is my tax-deductible contribution, payable to PACER Center, Inc. (please circle one):
$5000 $1000 $500 $200 $100 $50 $25 Other:$____
Method of donation payment (please circle one):
Check Master Card Visa American Express
Credit Card #_______________________________ Expiration Date __________
Name_______________________________
Phone (H)________________ (W) __________________
Address___________________________________________
City, State, Zip__________________________________________
Double your gift! Many companies match gifts. Ask your employer for a matching gift form and enclose it with your contribution.
Please use my gift:
 | Where it is needed most.
Program__________________ |
|
| In memory of ______________________________ |
|
| In honor of ________________________________ Occasion:__________________________________ |
|
| Please send acknowledgment to: Name_________________________________________________ Address_______________________________________________ City, State, Zip____________________________________ |
|
| Do NOT include my name on PACER's list of donors. |
|
| Please send information about how I may include PACER in my will. |
PACER's site offers many PDF files for download, which require 
