Making a Gift to Maryland Community Connection

 

The success of Maryland Community Connection in its quest for independence for individuals with developmental disabilities depends upon your support and participation.

 

Thank you for choosing to support the Maryland Community Connection.

 

I am/we are making a gift or pledge of:

 

$1,000     $500      $250    $100    $50   $25   Other _______

 

This gift is:     Individual   Joint

Please provide us with your information below


 

Name (s):                                                                                                                                

Address:                                                                                                                                  

City:                                                                  State:                            Zip Code:                   

Home Phone:                                                                                                                           

E-Mail Address:                                                                                                                      

Title:                                                                                                                                        

Business / Organization:                                                                                                           

Address:                                                                                               Suite:                          

City:                                                                  State:                            Zip Code:                   

Business Phone:                                                             Fax Number:                                      

 

Donation

Enclosed is my check made payable to: Maryland Community Connection.

The Annual Report currently lists donors of $100 or more.

Please check here to indicate if you would like your name to appear in the Annual Report and our web site. Otherwise all information provided will remain private.

Comments:

                                                                                                                                               

                                                                                                                                               

Please mail form to:

Maryland Community Connection

6490 Landover Road Suite A9

Landover, Maryland 20785

 

If you would like to make a tax-deductible donation by credit card please visit us on the web or call us at (301) 583-0358.

On occasion, Maryland Community Connection may send you information via e-mail and postal mail. Please email us if you do not want to receive this information.