MGFA Memorial Garden Donation Form | Myasthenia Gravis Foundation of America

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Make a Gift, Remember a Loved One

Thank you for choosing to honor your loved one through the MGFA Memorial Garden. By making a memorial gift, your loved one's name will be recognized for one year in the memorial garden in our online community.

YOUR GIFT AMOUNT

35
50
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250
Other Amount

Please cover the processing fees associated with my donation.

Total Gift

I would like to make this a monthly, recurring gift.

This month's donation will be processed immediately.

Beginning next month, the same amount will be processed on the date selected until the subscription is modified or cancelled.

Dedicate my donation in honor or in memory of someone.

In honor of…

In memory of…

Who would you like to honor? *

For example: Johnny Smith, Sue Smith's Birthday, etc.

Recipient Information

First Name

Last Name

Email Address

Your Message to the Recipient

1000 characters left

Please spell check, include how you would like your name(s) signed, mention the amount if desired, and format your message as you would like it delivered.

Payment Details

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Expiration Year*

Security Code *

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Confirm Account # *

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Your Information

Name *

First Name

Last Name

Email *

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Country *

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Address *

City *

State *

Zip Code *

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Postal Code *

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State/Province

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Postal Code *

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Confidentiality Policy

The Myasthenia Gravis Foundation of America
http://myasthenia.org
mgfa@myasthenia.org
1-800-541-5454
290 Turnpike Rd, Suite 5-315
Westborough, Massachusetts 01581
US

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Help & Information

Is my donation secure?
The security and confidentiality of your information is our highest priority. We use industry-standard SSL (secure socket layer) technology to protect your information and provide a safe and secure environment for online donations. We will not sell, trade or share your personal information with anyone else, nor send donor mailings on behalf of other organizations.

Do I get a receipt?
A donation receipt will be sent to you at the email address you provide on this form. Please be sure to keep a copy of your receipt for tax purposes. If you select a recurring donation, you will be sent an individual receipt each month when your donation is processed.