Pick a Date to Donate - Disability Pride Month

Form
Pick a Date Fundraiser Donation Form

Support The Arc of the Quad Cities this July by picking a date and multiplying your impact
Help Us Fill the Calendar!

Every day in July is up for grabs

Each day’s number = your donation amount × $10.
(E.g., July 4 = $40, July 20 = $200.)
Except for July 26 (ADA Anniversary) = $1,000 special day!

Let’s celebrate pride, access, and progress—one day at a time

Choose your date(s) below and help us fill the month!

If a date doesn't appear, it's already been claimed.
How did you hear about our fundraiser?

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Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My Products

July 7th

$70.00 Quantity

July 9th

$90.00 Quantity

July 12th

$120.00 Quantity

July 13th

$130.00 Quantity

July 14th

$140.00 Quantity

July 15th

$150.00 Quantity

July 16th

$160.00 Quantity

July 17th

$170.00 Quantity

July 18th

$180.00 Quantity

July 20th

$200.00 Quantity

July 21st

$210.00 Quantity

July 22nd

$220.00 Quantity

July 24th

$240.00 Quantity

July 25th

$250.00 Quantity

July 26thADA Anniversary Date

$1,000.00 Quantity

July 27th

$270.00 Quantity

July 28th

$280.00 Quantity

July 29th

$290.00 Quantity

July 30th

$300.00 Quantity

Total

$0.00

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