Donation

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Thank you so much for choosing the Brain Injury Association of Michigan as your donation choice. Your donation will enable us to continue its efforts to improve the quality of life for people with a brain injury and their families. We will continue to provide hope, encouragement, and information to the thousands of persons who contact our office each year.

Again, thank you for your support.

Save this email as your receipt for your tax records.

Please note that your information will never be shared or sold.

Donation Amount:

This is a one time donation

Make this a recurring donation deducted

First Name: Last Name: Address: City: State: Zip Code: - Email: Phone: Please specify if your donation is for something specific (i.e. Education purposes): Tribute Type: Tribute Name: Acknowledge To: Address: City: State: Zip Code: - How did you hear about us?

Honor / Memory Donations

The section below is ONLY for those who are making a donation in honor or memory of someone.
1. We will send a tax donation thank you letter to the person/organization who makes the donation. (We will use the name and address provided from the donation form unless you specify something different)
2. We will also send an acknowledgement letter to the family (who lost a loved one or who the donation was made in honor of). Please fill out the information below.

Billing Information

Payment method: Credit Card
American Express

Pay Later

Cardholder First Name: Cardholder Last Name: Zip Code: -

Credit Card Number: Card Expiration: Credit Card CVV2:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

I will mail in a check or money order

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Donation

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Billing Information