Making a Difference

To make a tax deductible donation to the Foundation for Spinal Cord Injury Prevention, Care & Cure (501c-3), please fill out this donation form, print it and mail it along with your check to:

Foundation for Spinal Cord Injury Prevention, Care & Cure
11230 White Lake Road
Fenton, Michigan 48430
USA
Phone:1-800-342-0330
Fax: (810) 714-0354

Yes! I want to make a difference in the lives of persons afflicted with spinal cord injuries, by supporting the Foundation for Spinal Cord Injury Prevention, Care & Cure with my donation of:

$5

$10

$20

$50

$100

Other $

Please make your check payable to FSCIPCC.

Name:    

Address:

City:            State:     ZIP: