Donation Amount

25.00
50.00
100.00
250.00
500.00
Other Amount:

Other Amount:

Message (Optional):

Name

First Name *

Last Name *

Company Name (optional)

Address

Country

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City *

State/Province *

Postal Code *

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Select a Payment Method

Credit Card
Bank Account

Cardholder Name

Credit Card #

Visa MasterCard American Express Discover

Expiration Date

Security Code

Cover the fee associated with this online transaction?

Yes, I will cover the processing fee of {transaction_fee} for the cost of this transaction so the full donation amount will go to support adults and children with disabilities.

Cover the fee associated with this online transaction?

Account Holder

First Name

Last Name

Account Type

Checking
Savings

Account Holder Type

Personal
Business

Account Number

Routing Number

I authorize Walla Walla Valley Disability Network to initiate, and my financial institution to honor, a one-time electronic debit from my bank account on the date, for the amount, and from the account listed.

Make this a recurring payment?

No, this is a one-time payment.
Monthly

Make this a recurring payment?

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Walla Walla Valley Disability Network is registered with the Washington State Secretary of State as required by law. For more information, call 800-332-4483 or go to https://www.sos.wa.gov/charities.

Ability Walk and Roll Donation

To support the Ability Walk & Roll and promote inclusion and celebration of people with disabilities in our community, please complete and submit the form below to make a donation.

Thank You to our Supporters

Office Location:

Mailing Address:

Office Location:

Mailing Address: