Donation Information

Please complete the form below and click on "Submit" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

Donation Amount $*

Salutation

First Name*

Last Name*

Address*

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Zip*

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Email*

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Payment Info

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

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Dedication Information (Optional)

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Dedication Acknowledgment Information

Acknowledge by

First Name

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Address

Other Ways to Give

Make a Recurring Donation

You can make a gift by calling:
718-706-5750

You can also give by printing this form and mailing to:

APAC
3412 36th Street
Suite 1/232, MB 40
Astoria, NY 11106