menu
News
Events
About Us
Professionals
E-news
24/7 Helpline
800.272.3900
Donate
Alzheimer's & Dementia
Help & Support
Research
Get Involved
Local Resources
Search
Alzheimer's & Dementia
Help & Support
Research
Get Involved
Local Resources
News
Events
About Us
Professionals
E-news
Donation Information
Thank you for donating to the Alzheimer's Association Oregon Chapter.
Internal Tracking Code:
Internal Tracking Code:
null
53
69
21
12
169
37
181
58
117
140
139
24
28
156
6
73
164
38
46
108
138
172
135
59
67
232
78
83
90
113
157
185
194
100
174
118
233
120
81
82
87
143
97
101
208
109
99
205
184
999
115
121
177
116
20
144
147
17
148
159
123
19
161
33
182
195
103
104
173
178
179
191
190
130
128
Required
Gift Information
*
Select Gift Amount:
Required
Select Gift Amount:
$25.00
Select Gift Amount:
$50.00
Select Gift Amount:
$100.00
Select Gift Amount:
Enter amount.
*
Select Gift Amount:
Required
Select Gift Amount:
$25.00
$50.00
$100.00
Enter amount.
*
Gift type:
Required
Required
Gift type:
One-time gift
Sustaining gift
Select a Gift Duration:
Choose one of these options for your recurring gift payments.
Forever(Monthly)
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
13 months
14 months
15 months
16 months
17 months
18 months
19 months
20 months
21 months
22 months
23 months
24 months
Forever(Quarterly)
2 quarters
3 quarters
4 quarters
5 quarters
6 quarters
7 quarters
8 quarters
9 quarters
10 quarters
11 quarters
12 quarters
Forever(Annually)
2 years
3 years
4 years
5 years
Required
Choose one of these options for your recurring gift payments.
Total Gift:
Use the Calculate button to view the total amount of all gift payments for your donation.
Use the Calculate button to view the total amount of all gift payments for your donation.
Check this option to make this gift in honor or in memory of a loved one, and then enter the appropriate information in the fields that display.
Yes, this is an honor or memorial gift
Check this option to make this gift in honor or in memory of a loved one, and then enter the appropriate information in the fields that display.
*
Honoree Name:
Required
Honoree name is required.
Required
Check this option if the person you are honoring is deceased.
Yes, the honoree is deceased.
Check this option if the person you are honoring is deceased.
Notification Recipient Name:
Enter the name of the person that should be contacted regarding this gift.
Enter the name of the person that should be contacted regarding this gift.
Notification Recipient Street 1:
Notification Recipient Street 2:
Notification Recipient City:
Notification Recipient State/Province:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
FM - Federated States of Micronesia
GU - Guam
MH - Marshall Islands
MP - Northern Mariana Islands
PR - Puerto Rico
PW - Palau
VI - Virgin Islands
AA - Armed Forces Americas
AE - Armed Forces
AP - Armed Forces Pacific
AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NL - Newfoundland and Labrador
NS - Nova Scotia
NT - Northwest Territories
NU - Nunavut
ON - Ontario
PE - Prince Edward Island
QC - Quebec
SK - Saskatchewan
YT - Yukon
None
Required
*
Notification Recipient ZIP/Postal Code:
Required
Notification recipient zip or postal code is required.
Required
Donor Information
Title:
Admiral
Admiral & Mrs.
Admiral & Mr.
Admiral (Retired)
Atty.
Atty. & Mrs.
Atty. & Mr.
Dr.
Dr. & Dr.
Dr. & Mrs.
Dr. & Mr.
Judge & Mrs.
Judge & Mr.
Mr. & Mrs.
Miss
Mr.
Mr. & Mrs.
Mr. & Mr.
Mrs.
Mrs. & Mr.
Mrs. & Mrs.
Ms.
Rabbi
Rabbi & Mrs.
Rabbi & Mr.
Rev. Msgr.
Reverend
The Family of
Required
*
First Name:
Required
Billing first name is required.
Required
Middle Name:
*
Last Name:
Required
Billing last name is required.
Required
*
Email Address:
Required
An email address is required.
Required
For your privacy, subscribers can unsubscribe using any email or login to change communication preferences.
Yes, I would like to receive communication from this organization.
For your privacy, subscribers can unsubscribe using any email or login to change communication preferences.
Suffix:
Captain Retired
CASH ACCT
Chartered Public Accountant
COMPANY
Doctor of Chiropractic
Doctor of Dental Surgery
Doctor of Medicine
Doctor of Theology
Doctor of Veterinary Medicine
Doctor of Education
Esquire
The First
II
III
IV
Juris Doctor
Jr.
LICSW
Doctor of Laws
Master of Arts
M.D.
Notary Public
Doctor of Optometry
Osteopathy
PhD
Doctor of Psychology
Registered Nurse
Retired
Sr.
United States Air Force Retired
USMC Ret
V
Doctor of Veterinary Medicine
Required
*
Street 1:
Required
Billing street address is required.
Required
Street 2:
*
City:
Required
Billing city is required.
Required
*
State/Province:
Required
Billing state or province is required.
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - District of Columbia
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
FM - Federated States of Micronesia
GU - Guam
MH - Marshall Islands
MP - Northern Mariana Islands
PR - Puerto Rico
PW - Palau
VI - Virgin Islands
AA - Armed Forces Americas
AE - Armed Forces
AP - Armed Forces Pacific
AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NL - Newfoundland and Labrador
NS - Nova Scotia
NT - Northwest Territories
NU - Nunavut
ON - Ontario
PE - Prince Edward Island
QC - Quebec
SK - Saskatchewan
YT - Yukon
None
Required
Required
*
ZIP/Postal Code:
Required
Billing zip or postal code is required.
Required
*
Country:
Required
Billing country is required.
United States
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bonaire, Sint Eustatios and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic People's Republic of Korea
The Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
The Former Yugoslav Republic of Macedonia
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Islamic Republic of Iran
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Plurinational State of Bolivia
Poland
Portugal
Puerto Rico
Qatar
Republic of Korea
Republic of Moldova
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
S. Georgia & S. Sandwich Isls.
Sierra Leone
Singapore
Sint Maarten (Dutch)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
Uruguay
USA Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (USA)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Required
Required
Phone Number:
Payment Method
Credit Card Type:
Credit Card Type:
*
Credit Card Number:
Required
Credit card number is required.
Required
*
CVV Number:
Required
CVV number is required.
What is this?
Required
*
Select month of credit card
Expiration Date:
Required
Select Expiration Year
01
02
03
04
05
06
07
08
09
10
11
12
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Required