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Donate

  1. The NBIA Alliance is accepting donations using the NBIA Disorders Association as a fiscal sponsor. Your donation on this website will be used only for NBIA Alliance activities as determined by Alliance member organizations. You will receive a receipt for tax deduction purposes from our fiscal sponsor. If outside the United States, you should check with the laws in your country regarding foreign country donations.

    After submitting this form you will be taken to PayPal for your payment information where your transaction is secure and none of your personal financial account information is shared with NBIA Disorders Association. You do not have to open an account to donate via PayPal.

  2. Name*
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  3. Email*
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  4. NBIA Disorders Association Donation as fiscal sponsor for the NBIA Alliance*
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       (Enter the amount of your donation)

  5. I would like information about a monthly giving program
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  6. This Donation is in Honor of (living):
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  7. This Donation is in Memory of (deceased):
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  8. I wish to remain anonymous; do not publish my name as a donor in NBIADA newsletter or the NBIA Alliance website
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  9. Do not disclose my name to the person/family if donation is made in honor/memory of someone
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  10. Additional Information: Is there any other information you would like to share with us?
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  12. When you click the button you will be directed to the PayPal website to complete payment securely. If you wish to pay with a DEBIT or CREDIT CARD, please click the button at the bottom labeled "Pay with Debit or Credit Card." YOU DO NOT NEED A PAYPAL ACCOUNT TO PAY BY DEBIT OR CREDIT CARD.

    All gifts are tax-deductible to the extent permitted by law. Please be assured that NBIA Disorders Association does not sell or exchange its mailing list.