Easterseals Serving Greater Cincinnati donation form

Thank you for fueling #BreakthroughMoments!

Your investment in human services is one of the greatest gifts you can make in our local community. People helping people achieve -the rewards are great.

Thank YOU for believing in Easterseals mission to help people achieve through employment. COVID-19 has changed our world, but we’ve remained one of the region’s largest human service organizations. With your support, we continue to holistically bolster veterans, people living with disabilities and people facing the disadvantages of poverty in pursuing the great American dream of achieving through WORK.

Because of you, nearly 7,000 of our neighbors are served by a team of over 200 Easterseals employees EACH YEAR. Your investment makes this possible. You are the fuel that advocates for an inclusive, diverse and equitable workforce. You are the gift of opportunity for those who need it. Thank YOU.

Giving a monthly donation is the best way to make an impact. You may cancel or change this monthly donation at any time.

Additional Amount:

Field Is Required Gift Designation:

Use my gift where it is needed most.

Direct my gift to:

I would like to make this gift in honor or memory of someone special

Honor Gift Type:

Honoree Title:

Honoree Name:

Notification Recipient Information

Notification Recipient Title:

Notification Recipient Name:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient State/Province:

Notification Recipient ZIP/Postal Code:

Message to Notification Recipient

Message Body:

Message Closing:

Message Signature:

Yes, include the gift amount in the message.

Billing Information

First Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Email Address:

By taking action, you will be signed up for our monthly eNewsletter and communications about our work. You can unsubscribe at any time.

Mobile Phone Number

Payment Information

Payment Method:

Credit CardBank Account

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Checking Account Information:

Bank Routing Number: What is this?

Bank Account Number:

Verify Bank Account Number:

Account Type:

Checking
Savings

By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.

Check Information

I would like to cover the credit card fee so 100% of my gift goes to Easterseals.

Credit Card Verification Code

The Verification Code is imprinted on credit cards to help merchants verify transactions when the actual card is not present, such as Internet purchases or donations. The merchant uses this number as part of the authorization process with the card issuer.

Visa, Master Card, and Discover:

The verification code for Visa, Master Card, and Discover is a 3-digit number printed on the back of your card. It appears after the account number or last 4-digits of your account number, in the signature panel.

American Express:

The American Express verification code is a 4-digit number printed on the front of your card. It appears above and to the right of the embossed account number.

Easterseals Serving Greater Cincinnati
2901 Gilbert Ave, Cincinnati, OH 45206 | 513-281-2316
Tax ID: 31-0873433
Easterseals and its affiliate organizations are 501(c)(3) nonprofit organizations.

Easterseals Serving Greater Cincinnati
2901 Gilbert Ave
Cincinnati, OH 45206 | 513-281-2316
Tax ID: 31-0873433
Easterseals and its affiliate organizations
are 501(c)(3) nonprofit organizations.

©2023 Easterseals Serving Greater Cincinnati | Privacy Policy | easterseals.com
Accessibility Guidelines | Site Map | Contact Us

©2023 Easterseals Serving Greater Cincinnati
Privacy Policy | easterseals.com
Accessibility Guidelines
Site Map | Contact Us