Monthly Recurring Donation All donations go toward supporting our Community Day Program Δ Step 1 of 3 33% CompanyThis field is for validation purposes and should be left unchanged.Monthly Donation Amount:(Required) $25.00 $50.00 $75.00 $100.00 Other Custom Donation Amount(Required)Please enter a donation amount you'd like to donate for our Community Day Program. The cost per day program attendee is $1000.00/month so any amount donated helps! Would you like your donation to go to a specific person? Yes No Individuals tuition you'd like your donation to go towards:Please enter the name of the person you'd like your donation to be applied to. Name(Required) First Last Email(Required) Phone(Required) Billing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Total Credit Card(Required)Card Details Cardholder Name