Monthly Gift - Central Florida Dreamplex

Recurring Donation

Initiate a monthly donation. Automatic payments will be made.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Company Name (If applicable)

Who can we thank?

Thanking our donors via social media, e-newsletter, etc. often encourages others to donate - meaning your gift could have additional impact! We will not disclose the amount donated. Please leave blank if you prefer to remain anonymous.

Which Dreamplex program would you like to support? (Optional)

Which Adaptive Sport? (Optional)

Which Sport Clinic? (Optional)

Which Therapy Discipline? (Optional)

Which Recreational Therapy Program? (Optional)

Which location do you wish to support? (Optional)

Optional Notes

If this gift is in honor or remembrance of someone, please specify here.

Recurring Donation Amount(Required)

Choose how much you would like to donate.

$10

$50

$250

Other amount

Other Amount

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

You will be emailed an acknowledgement of your tax-deductible donation. As a valued member of our online community, and by submitting this form, you will also receive important updates about the Central Florida Dreamplex. You may choose to stop receiving Central Florida Dreamplex emails at any time by clicking the unsubscribe link provided in every email. A COPY OF THE OFFICIAL REGISTRATION CH#31939 AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES ON THEIR WEBSITE WWW.800HELPFLA.COM OR BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOM-MENDATION BY THE STATE.

Total

Recurring Donation

Locations

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