Donation Form

Donation Form

The Arc of the Wabash Valley is a 501(c)(3) organized under the laws of the State of Indiana.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Donation Amount (in US Dollars) *
Donations via Check can be made by the folloiwing:

Make Checks payable to:

The Arc of the Wabash Valley

11 Cherry Street, Terre Haute, IN 47807
Comments:
Do you wish to receive a receipt for your donation?*

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