Kevin Everett Foundation
 
 
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Donation Form
Title:
First Name*
Last Name*
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Address
Address 2
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Amount of Donation*
(Format for "other" amount does not include dollar signs, commas, or decimal point.)
$500.00 Goes Toward First year expenses for paraplegics
$1000.00 Goes Toward a lift to transfer a quadriplegic from bed to wheelchair
$5000.00 Goes Toward cost of modifying a home into a wheelchair accessible living environment
$10000.00 Goes Toward the purchase of a van that accommodates a quadriplegic
Other 
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Donation One time donation
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Designation (optional) To designate your donation for a specific purpose, please enter a description of how you'd like your donation to be used.
Dedication (optional) To make a donation in memory of another person, please enter the person's name
To make a donation in honor of another person, please enter the person's name
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