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Asperger's Association of New England

AANE Donation Form

I would like to help AANE reach its goals!:

$50.00$100.00$250.00$500.00$1,000.00

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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RadDatePicker

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Calendar

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<<	<	January 2019	>	<<

January 2019
	S	M	T	W	T	F	S
53	30	31	1	2	3	4	5
2	6	7	8	9	10	11	12
3	13	14	15	16	17	18	19
4	20	21	22	23	24	25	26
5	27	28	29	30	31	1	2
6	3	4	5	6	7	8	9

Please confirm recurring donation:

I would like to cover the cost of the online convenience fee:

$0.00

Total:

$0.00

My donation is in honor of/in celebration of: (please include address so we can notify the person of the donation):

My donation is in memory of: (please include address so we can notify the person of the donation):

Please recognize my donation in AANE's Annual Report:

YesNo

...and my name should be listed exactly like this:

I would like to receive the AANE e-newsletter:

YesNo

I want to increase the value of my gift through my employer's matching gift program:

YesNo

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