Give an Honor or Memorial Gift

Make a tax-deductible gift to Easterseals to say "Thank You!" to those who have helped you, or in memory of someone special. Your generosity will help Easterseals serve more children, adults and families who desperately need our help.

Please complete the fields below to indicate where we should send an acknowledgement card. If you would prefer to send an eCard acknowledgement, click here to make your gift and send an eCard.

Field Is Required Select Gift Amount:

$500.00

$110.00

$55.00

$30.00

Enter amount

Gift Type:

One-time gift

Monthly gift (Credit card only)

Select a Gift Duration:

Billing Information

First Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Email Address:

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Mobile Phone Number

Honor/Memorial Gift Information

Yes, this is an honor or memorial gift

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:

Notification Recipient ZIP Code:

Message to Notification Recipient

Message Body:

Message Closing:

Message Signature:

Yes, include the gift amount in the message.

Payment Information

Payment Method:

Credit Card

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Check Information

If you prefer to make a gift by mail, please fill out and print this form and send with your check to:

Easterseals
Attn: Online Giving Coordinator
141 W. Jackson Blvd, Suite 1400A
Chicago, IL 60604

If you have questions, please contact us at 1-800-221-6827. Thank you.

Easterseals
141 W Jackson Blvd, Suite 1400A, Chicago, IL 60604 | 800-221-6827 (toll-free)
Easterseals and its affiliate organizations are 501(c)(3) nonprofit organizations.

Easterseals
141 W Jackson Blvd, Suite 1400A
Chicago, IL 60604 | 800-221-6827 (toll-free)
Easterseals and its affiliate organizations
are 501(c)(3) nonprofit organizations.