Your donation will make a difference!

We are a unique non-profit human service organization, serving over 60,000 children, youth, families, seniors, and adults with disabilities annually, throughout Multnomah, Clark, and Washington Counties. Our services are designed to help people improve their quality of life and live independently.

Your secure online tax-deductible donation will help us continue caring for thousands of people in our communities. We thank you for your gift.

You can also send your donation by mail or fax by downloading and printing this form and sending it with your donation to:

Impact NW
Attention: Development
PO Box 33530
Portland, OR 97292-3530

Fax (503) 988-4771

DONATION

Donor Information

*Email:
*Contact First Name:
*Contact Last Name:
Company Name:
*Street Address:
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*Zip Code (5 Digit):
*Phone Number:
Yes, I would like to receive Impact NW's newsletter.

Donation Information:
*Donation Amount:
My company will be matching my donation.
I would like to make my donation anonymously.
This donation is motivated by:
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Donation in honor/ memory of someone special:

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Billing Information

Billing Information same as Donor Information.
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code (5 Digit):
*E-mail:
*Phone Number:

Credit Card Information

*Card Number:
*Name on Card:
*Expiration Date:
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Privacy Policy

All transactions are in US Dollars. Donations may be refundable upon written request.

Billing Information

Your donation will make a difference!

You can also send your donation by mail or fax by downloading and printing this form and sending it with your donation to:

DONATION

Donor Information

Donation Information:

Donation in honor/ memory of someone special:

Mail a letter on my behalf to the following person:

Billing Information

Credit Card Information

Privacy Policy