First Name of Walker:
Last Name of Walker:
City of Walker:
State of Walker:	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other
I do not know anyone walking, but would still like to pledge the amount below...

$10.00	$25.00	$50.00
$100.00	$250.00	Other *

*Other can be any amount above or below the listed amounts. Please note that any amount over $250.00 IRS Regulations require that this contribution must be confirmed by letter from the charity to the donor, so make sure your payment address is a valid mailing address for you! If you are paying via PayPal we will request your address through that email address.

 

Donate to The Parkinson's Association through the mail by down loading the form below and mailing to:

 

Parkinson's Association of WNY

3512 Clinton Street, Suite 109

Buffalo, NY 14224