Donate Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2City--Please Select--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Donation Amount *How often would you like to donate this amount *--Please Select--One TimeMonthlyPlease direct my gift to one of the following areas *General DonationBlind ServicesMissionary/Missionary AssociateSummer Get AwaySpecial Touch Chapter2021 FL to WI Bike FundraiserPerson SponsoringPlease enter the name of the Fundraising Cyclist you are supporting. Missionary/Missionary Associate--Please Select--Charlie & Debbie ChiversJoe & Ann TrementozziThomas & Angelia CarpenterMatt & Carolyn EspinaTracie & Duane CorllLori BullingtonNilda RiveraMike & Kim FergusonTodd & Synoilva HalbachRick HeitzTommy & Cindy MaherLonnie & Janet NanceSteven & Charlene PhippsNettamara & Ed DoakJen & Bill KippinLana DawkinsSpecial Touch Summer Get Away--Please Select--Supporting a CIT (Caregiver-in-training)OklahomaFloridaIllinoisKentuckyGeorgiaOhioWisconsinNE RegionArizonaMontanaAlabamaPlease choose one of the following locationsSpecial Touch Chapter--Please Select--Beaver DamFirst CoastGreater MilwaukeeNutmegREACH New EnglandTucsonNassauPlease choose one of the following locationsCIT NamePlease provide name of CITThis donation is in memory/in honor ofPlease enter entire name of person in memory/honor of if this is a tribute gift.Type of TributeIn Memory ofIn Honor of (Birthday, Anniversary, or celebration)Acknowledgement infoPlease provide the name and address (email or mailing) where we can send acknowledgement of your giftAdditional Donation DetailsPlease provide any additional information about your donationCredit/Debit Card *CardName on CardIn submitting your donation you consent to receive regular communications and updates from Special Touch Ministry, Inc. These are designed mainly to let you know how your donation is being used to continue ministry serving people impacted by disability. You may opt out of these communications at any time. Your information is kept confidential and only used for Special Touch Ministry purposes. MessageSubmit
