Family and Children’s Association
Online Donation Form

Donate Today & Transform a Life

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Thank you for your interest in supporting Family and Children’s Association.  Your contribution will directly benefit children, youth, adults, families, seniors and communities who turn to us for assistance as we help them to achieve a brighter, more self-sufficient future.

For more information, please call (516)746-0350 ext. 337,

Click here for a printable version of the form.

* Required Fields
One-Time or Recurring Donation
  Amount : 
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  Designation : 
Please complete the following if this a tribute gift.  
  This gift is 
  First Name 
  Last Name 
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     Mail Acknowledgement to:  
  First Name 
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Does your company offer Matching Gifts for charitable donations?  
  Company Name 

Donor Information
* First Name 
* Last Name 
  Company Name 
* Address 
* Phone 
* City 
* E-mail 
* State 
* Zip 

Credit Card Information
* Name on Card 
* Card Account Number 
  Expiration Date (MMYY) 
* Security Code
Click here for CVV2 information 
Billing Address
  Same As Above 
* Address 
* City 
* State 
* Zip 

Family and Children’s Association
100 East Old Country Road
Mineola, New York 11501
Fax: 516 877-1218

For more information, please call Donna Johnson at (516) 746-0350 ext. 337.

All gifts are tax-deductible to the extent allowable by law.
All information will be kept confidential including your contact information.(Read our Privacy Notice)

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