July4 - Alzheimer's of Central Alabama

Celebrate Independence Day with Alzheimer’s of Central Alabama!
Help deserving families caring for an Alzheimer’s patient by sponsoring a July 4th Picnic Basket with your donation of $25!
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
BBQ sauce
Baked beans
Assorted canned vegetables
Fruit
Cookies
Napkins

Make a donation of $25 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

Please Enter the total number of baskets you would like to contribute (number only, please) They are $25 for each basket.

$25 Each basket

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.

Your Total Contribution

Credit Card

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