Upstate New York Affiliate

1 (800) 300-4198

Donations

There are a variety of giving options available to you. The Lupus Alliance of America Upstate New York Affiliate is a tax-exempt, 501(c) 3 organization and can receive contributions that are tax deductible. By donating to the Upstate New York Affiliate, you will help us provide:

Support for vital research that will expand the knowledge of lupus and secure more effective measures to diagnosis, treat, and cure this disease.
Education for affiliates to support people with lupus and their families.
Awareness about the urgent need for more research and education.

Please complete the form below with your billing address. Then click Submit and Continue at the bottom of the page. You will then have the ability to review your contribution and donate directly to the Lupus Alliance of America Upstate New York Affiliate using a major credit card.

Fields marked with an asterisk (*) are required.

Contact Information

Title:

*First Name:

Middle Initial:

*Last Name:

*Address Line 1:

Address Line 2:

*City:

*State:

*Postal Code:

*Country:

*Phone: (numbers only ex: 5554441234)

*E-mail:

Donation Details

*Donation Amount: Other Amount:

Please make this a recurring monthly donation:

This is a donation to support:

This is a joint gift from myself and:

Please provide any comments or questions you may have concerning your donation.

Thank you for your donation.