July4 - Alzheimer's of Central Alabama

Celebrate Independence Day with Alzheimer’s of Central Alabama!

Help deserving families by sponsoring a July 4th Picnic Basket with your donation!

The baskets will be hand delivered to a family caring for someone with Alzheimer’s by an ACA volunteer. We appreciate your support of our Holiday Basket Program which offers our families a little something special at Easter, Fourth of July, and Christmas.

Each Picnic Basket includes:

Meat for a cookout
Fun snacks
Fresh fruit
Prepared meals

Make a donation of $50 to sponsor a basket for one family or as many as you wish.

Your donation can be made in honor or memory of someone you love.

July 4th Baskets Order Form

First Name *

Last Name *

Email Address *

Address

City

State/Province

Zip/Postal

I’d like to donate to the carebasket campaign

1 Carebasket ($50)

2 Carebaskets ($100)

3 Carebaskets ($150)

4 Carebaskets ($200)

6 Carebaskets ($300)

8 Carebaskets ($400)

Other (please only use numbers)Other (please only use numbers)

I’d like to cover the credit card processing fee of 2.9%

Yes

Your Total Contribution

Any Special Instructions. If you would like to donate a basket in someone else’s name, we’ll be glad to send them a letter letting them know! Just add their name and address below.

Credit Card

If you are human, leave this field blank.

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