You have reached the online contribution page for the Lupus Foundation of America, Indiana Chapter. We are a 501 3(c) non-profit; our Federal ID is 35-1691113.

We are a Community Health Charities member. Our CHC code is 43550.

 photo 703959ff-fd18-4b52-b7f4-2d0e4833bc2a_zps51922d2f.jpg

The Indiana Chapter office is located in Indianapolis, IN; however, we strive to serve lupus patients, their families, caregivers, and healthcare professionals across the state. Your support will help to make this possible. Thank You!

Do you already have a username with us? Click here to autofill this form.

* required information
Thank You for your support!
Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Information
Title:
First Name:*
Middle Initial:
Last Name:*
Company Name:
Job Title:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
County:
Phone:
Email:*
Gender: Female   Male  
Gift Note - is your contribution in honor or memory of someone?:
What is your connection to lupus?:
Payment Information
:*
:*
:*   Explain
Credit Card Type:*
                  
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
:*
:
:*
State:
:
:*
Country:*
Subscribe to our eNewsletter!
General Subscription
Type the characters you see in the picture below:*
By clicking Submit,
your credit card will be processed