Families Helping Families

Resource Center for Individuals with Disabilities and Their Families

 



 

 

Families Helping Families of Acadiana 
Donation Form

 

Please fill-out this form, click the print option on your browser, and mail it with your check or money order payable to:

Families Helping Families of Acadiana
Family Resource Center

510 West University Avenue
Lafayette, LA  70506

337-984-3458 (office number)
1-800-378-9854 (toll-free number)
337-984-3468 (fax number)

fhfacad@cox-internet.com  

Name *  

Address *  

City *

State *

Zip * 

* optional

Amount of your donation (place an "X" in the box)

$25   $50   $100   $500 $1000   Other     

 

This donation is made in honor of

Thank you for your donation!

A signed receipt will be sent to you 
upon receipt of your donation for your records.

 
 
Build your own website with Build And Go Copyright © 2001 - 2008 Families Helping Families of Acadiana