MAKE A DONATION

Support from individuals like you makes it possible for us to help people with all kinds of disabilities and of all ages - from young children to older adults - to live more independently. Monetary donations will help RIL meet rising costs and to expand services. Checks can be made to RIL and are tax deductible.

In-Kind Gifts

We are in need of the following tax deductible In-Kind Gifts:

• Computers
• Walkers
• Office lamps

Your cash gift strengthens our ability to assist people with disabilities to live independently.
Print this form and mail it with your check (made payable) to

$25 ____  $50 ____  $100 ____  $500 ____  $1000 ____  Other ___________

Date: ____________________

Name: _________________________________________________________________

Address: ______________________________________________________________

City, State, Zip: _____________________________________________________

Telephone: (    ) _____________ (Check one) Voice [ ]  TTY [ ]  FAX [ ]

Email: ________________________________________________________________

Your gift may be made in memory or honor of a deceased loved one or 
special occasion.  Such gifts will be acknowledged to the person you 
designate without mentioning the amount given.  

Check one:

In Memory of [ ]                             In Honor Of [ ]

Name: _________________________________________________________________

Address: ______________________________________________________________

City, State, Zip: _____________________________________________________