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Donation & Payment Form

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Contact Name*
The Center offers Physical Therapy, Occupational Therapy, Speech Therapy, Aquatic Therapy, and ABA (Applied Behavior Analysis) Therapy for children with Autism. ALL donations go to each section listed, whether it’s a walker, school supplies, or heavy duty equipment.
Will you cover the fees for us?
Price: $0.00
Credit Card*
American Express
Supported Credit Cards: American Express, Discover, MasterCard, Visa
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