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Give today to support our life-changing work for children in need

Monthly Giving is the most powerful way to have year-round impact. Sign up to become a PRASAD CDHP Partner, and, as a bonus, when your monthly donation is $30 or more, you will receive a luxurious scarf donated by Love Quotes^TM on your Partnership Anniversary.

Donation

1Amount

2Your Information

3Payment

Donation Information
Donation Amount*
- $25
- $50
- $100
- $250
- $500
- $1000
- Other
Other*
Donation Frequency*
- I am making a one-time donation as indicated.
- Enroll me as a PRASAD CDHP Partner with the monthly donation listed above

Your Information
First Name*
Middle Initial
Last Name*
Email*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Day Phone
How did you hear about us?
Enter where you learned of us.
Honor someone special or memorialize someone who has passed with your gift.
- Dedicate my Donation
Honor someone special or memorialize someone who has passed with your gift.
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Honor/Memorium
To offer your gift as an Honor/Memorium complete the fields the below.
Name/Occasion
To notify someone about this gift, please enter their contact information below.
First Name
Last Name
Honor/Mem Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Comments
- Yes I want to receive monthly e-news and regular e-Mail updates
- Subscribe me to receive printed materials
*Free Love Quotes Scarf
For monthly Partners giving $25 or more, on the first anniversary of their Partnership.
Please Choose Color:
- Light Neutrals
- Dark Neutrals
- Reds/Pinks
- Lavenders/Purples
- Blues/Greens
- Yellows/Whites

Payment Information
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Same as Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Total
$0.00
Email
This field is for validation purposes and should be left unchanged.

Donate by Mail

To donate by mail, download and complete this form. If donating by check, make checks payable to PRASAD CDHP. On the memo line please write the designation. If you would like to receive PRASAD email updates please include your email address.

Mail completed form to:
PRASAD CDHP
PO Box 576
Ferndale, NY 12734

Donate by Phone

To donate by phone or to get assistance with your donation, please contact us at

845.434.0376

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PRASAD Children's Dental Health Program

PRASAD Children’s Dental Health Program is an initiative of PRASAD. Our mission is to improve the dental health of children by providing comprehensive, high-quality dental services through education, prevention, detection, and treatment.

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