The Dysautonomia Foundation will send a card for you:


Send a card -- Show someone you care

Tribute cards can be sent in honor of any person or occasion, or in memory of a loved one.
The card will be inscribed with your special message. Most cards are sent within one to two business days from the date you make your donation.
Your card will not only show someone special that you care, it will also support treatment and research for familial dysautonomia (FD)


Return to main page   Make a general donation   


Tribute Card Form
Your First Name:  
Your Last Name:  
Amount: $  
Enter amount of your donation as dollars and cents (e.g., 25.00), do not type dollar sign
Which Event?:
Your Mailing Address: Address 1
  Address 2
City:  
State / Zip:     
Phone Number: 10 digits only, no ( ) - symbols
Handicap: (required)
eMail Address:  
Method of payment: 
Occasion: e.g., In honor of ..., In memory of ...
Message on card:
Name and address of recipient:
Foursome:  
Additional Donation: $ Enter amount as dollars and cents (e.g., 25.00), do not type dollar sign
Display My Sponsors: Check this box if you'd like the names of your sponsors listed on the web page that shows the total amount you've raised for this event.
Enter numbers from the image: Captcha

The Dysautonomia Foundation is a registered 501(c)3 non profit organization.
Donations are fully tax deductible, as per IRS regulations.Federal ID number 13-6145280.



Please visit the Dysautonomia Foundation's website for more information about FD and what we do.
Thank you for your support!

Copyright © 2014 Dysautonomia Foundation, Inc.