donate

Thank you for your interest in making a donation to Marin Center for Independent Living to cover the cost of QuickMatch on-line registry. We cannot process your donation on-line.

If you would like to pay by credit card, Please call Mara Margolis, Deputy Director, at 415-459-6245 ext. 16 and she will be able to take the information over the phone.

Please print and mail this form with your check or money order. Thank you for your support.

As a 501(c)(3) organization, Marin Center for Independent Living depends on your support to help us continue serving seniors and people with disabilities. All (100 percent) of your tax-deductible donation will help Marin Center for Independent Living maintain and pay for programs that empower seniors and people with disabilities to remain in their homes.

Support QuickMatch and the Personal Assistant Registry

Marin Center for Independent Living
c/o Director of Development
710 4th Street
San Rafael, CA 94902

Click here:

Name _________________________________________________________________

Organization _________________________________________________________________

Street ________________________________________________________________

City ___________________________________ State _____ Zip ________________

Telephone ______________________ E-mail _________________________________

Please Select a Donation Amount:

? $60 I would like to contribute $60 to the Personal Assistant Registry.

? $100 I would like to contribute $100 to the Personal Assistant Registry.

? $250 I would like to contribute $250 to the Personal Assistant Registry.

? $500 I would like to contribute $500 to the Personal Assistant Registry.

? $1,000 I would like to contribute $1,000 to the Personal Assistant Registry.

? Other $ ________

We greatly appreciate your contribution.

Please check here if:

? I prefer not to be listed publicly as a Marin Center for Independent Living donor

? I prefer not to receive Marin Center for Independent Living's newsletter