Donate

Donation Form

Please fill out the following information which will allow us to email you a donation receipt.

First Name	Last Name
Phone Number	Email
Street Address
City	State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	Zip
Amount

Donations to Cedar Rapids Vision In Motion will be used to provide programming for clients who are unable to pay for services as well as to purchase program supplies and equipment.

 

 

 

 

 

 

 

 

 

*Awaiting 501 (c) (3) exemption status