Easterseals Oregon General Donation Form

Your Donation is Their Equity

Help Veterans experiencing homelessness, impoverished seniors, and people with disabilities.

You have the power to immediately and tangibly change the life of an Oregonian in need of housing or employment assistance. Together, we can pave the road to full access and inclusion.

Field Is Required Gift Designation:

Use my gift where it is needed most.

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Giving a monthly donation is the best way to make an impact. You may cancel or change this monthly donation at any time.

Additional Amount:

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I would like to make this gift in honor or memory of someone special

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Notification Recipient Information

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Notification Recipient Street 1:

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Message to Notification Recipient

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Yes, include the gift amount in the message.

Billing Information

First Name:

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By taking action, you will be signed up for our monthly eNewsletter and communications about our work. You can unsubscribe at any time.

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Payment Information

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Bank Account Number:

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Checking
Savings

By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.

Check Information

I would like to cover the credit card fee so 100% of my gift goes to Easterseals.

If you prefer to make a gift by mail, please print and complete this form and send with your check to:

Easterseals Oregon
Attn: Ellen Catania
7300 SW Hunziker Rd, Ste 103
Portland, OR 97223

If you have questions, please contact us at 503.228.5108. Thank you.

Credit Card Verification Code

The Verification Code is imprinted on credit cards to help merchants verify transactions when the actual card is not present, such as Internet purchases or donations. The merchant uses this number as part of the authorization process with the card issuer.

Visa, Master Card, and Discover:

The verification code for Visa, Master Card, and Discover is a 3-digit number printed on the back of your card. It appears after the account number or last 4-digits of your account number, in the signature panel.

American Express:

The American Express verification code is a 4-digit number printed on the front of your card. It appears above and to the right of the embossed account number.

Easterseals Oregon
7300 SW Hunziker St Ste 103, Portland, Oregon 97223 | 503-228-5108
Tax ID: 93-0386885
Easterseals and its affiliate organizations are 501(c)(3) nonprofit organizations.

Easterseals Oregon
7300 SW Hunziker St Ste 103
Portland, Oregon 97223 | 503-228-5108
Tax ID: 93-0386885
Easterseals and its affiliate organizations
are 501(c)(3) nonprofit organizations.