DONATION FORM

Portals - A Division of Pacific Clinics, accepts Visa and MasterCard for suggested donations. For more information on your transaction, please Email or call our Resource Development Department at (213) 639-2577.  You may also print the completed form and fax it to (213) 385-9246 (to the attention of Portals' Resource Development Department).

Again, thank you for your support. With your help, the work at Portals and Pacific Clinics can help turn the lives around of the mentally ill and homeless in our communities.

Donation Information
I want to make a contribution of:
$25.00 $50.00 $100.00 $250.00 $500.00 $1,000.00 $1,500.00 $2,500.00
Other Amount $
(Denominations in U.S. Dollars only please. In the interest of keeping our administrative costs low and making the most of your donations, we are unable to process credit card donations less than $15. Thank you for your understanding and your support.)

Cardholder Information
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Name:
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Billing Address
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Additional Information
How did you hear about Portals? (Check all that apply):
Participated in a Portals event
Surfing the Internet
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Friend / Family Member
Physician
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Would you like us to add you to our mailing list?
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Would you like to find out how to get involved in Portals activities?
Yes, please send me additional information
No, thank you.

Appealing Ways to Help

Portals is in need of underwriting support for small capital and beautification projects. We hope you will consider helping with any of vital needs listed below:

 $2,500 - Commercial refrigerator for Clubhouse kitchens.

 $1,500 - Computer, printer and software for member computer training classes

 $1,000 – Training: Send 13 Members and Staff to a community or mental health conference.

 $500  - Member lunches for one month at the Community Connections Clubhouse.

 $250 - Text books for a Transitional Age Youth (TAY) member attending high school or a community college.

 $100 - Camping equipment to take members on their first nature trip.

 $50  - “Various Options”

٭  Twin size bed-in-a-bag

٭  A week of hot meals for a homeless person in Portals residential program

٭  New pair of athletic shoes for a member joining Portals daily power walks

٭  Tool kit for Transitional Age Youth (TAY) construction training program.

$25 – Toiletry kit  with soap, shampoo, conditioner and lotion.

The donation of in-kind household improvement materials such as paint, garden supplies, plants, area rugs, gently used furniture and other domestic comforts will always be deeply appreciated.