Donation Form

Your support will bring help and hope to the more than 153,000 children, adults, and veterans with epilepsy and seizure disorders in Kentucky and southern Indiana.
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Donation
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I would like to make a recurring gift.
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NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Information
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Payment Information
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Matching Gift Information
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Matching Gift Amount:$


Additional Information
Designate My Gift: Epilepsy Research Project Fund
In Honor of
In Memory of
Shannon O'Daniel Memorial Scholarship Fund
Peggy Sherrell Memorial Scholarship Fund
Veterans Program
Hope for Hadley Jo Service Dog Project
Kevin Dowd Memorial Scholarship Fund
Donation in Honor/Memory of::

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