Required Field Donation Amount $25 1 hour of respite $50 2 hours of job coaching $100 support classes $250 art group supplies $500 group homebathroom updates Other e.g. $1000 for Adult Services Programs Other Donation Amount $ .00 Make this my monthly donation. We will automatically receive your gift each month. Dedicate my donation. Take this opportunity to tell us why you are donating. Payment Method Credit Card Number CVV Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 All donations made in US dollars.We can only accpet online donations from the United States. Your Information First Name Last Name Phone Number Email @ We will use your email to send a receipt. Billing Address Address Address 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ----------------------- American Samoa Armed Forces Americas Armed Forces Eur.,Mid.East,Africa,Canada Armed Forces Pacific Federated States of Micronesia Guam Marshall Islands North Mariana Islands Palau Island Puerto Rico Virgin Islands Zip Code Receive Emails I would like to receive emails about news and events. Submit Donation Donate $50 By clicking the donate button, you authorize Community Support Services to charge your payment as indicated.