All payments are applied directly to the program/service designated by you.
IMPORTANT NOTICE: Once
you enter the name and address, and click on the Pay Now button, you will be directed to PayPal Secure
Payments. You are required to enter detailed donation/payment
If you are making a payment for services
for yourself or an
individual, you are required to list name and address
information below. This ensures payments are posted correctly.
I AM MAKING A PERSONAL CARE SERVICES PAYMENT.
THAT THE NAME AND ADDRESS OF THE PERSON FOR WHOM I AM MAKING
THIS PAYMENT IS TO BE ENTERED BELOW SO THAT PAYMENT MAY BE CORRECTLY APPLIED: