Annual Appeal

Donation Recognition Levels

Founder’s Circle	$5,000 & above
Director’s Circle	$2,500 – $4,999
Leader’s Circle	$1,000 – $2,499
Partner	$500 – $999
Patron	$250 – $499
Sustainer	$100 – $249
Supporter	$1 – 99

Donation Form

Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Per New York State law, online donations can only be accepted from New York State residents. For out-of-state donations, please contact Preston Evans, Vice President Development & Donor Relations, at pevans@achieveny.org.
Email
I / We would like to make a donation that will be used to benefit individuals with intellectual, developmental and other disabilities in the amount of
Donation Type*
- One Time
- Recurring (monthly)
This gift is in memory of:
This gift is in honor of:
Please send an acknowledgment card to:
Other
- I would like information on how to remember ACHIEVE in my will or to give to the endowment.
- I would like information about ACHIEVE and opportunities of giving and service.
- I would like a tour.
- I would like a presentation to my church or club.
Your gift to the 2023 Annual Appeal automatically renews your membership with ACHIEVE, allowing us to continue to advocate for individuals with intellectual, developmental and other disabilities. If you would prefer to opt-out of being a member of our organization, please check the box.
- Yes
Per New York State law, online donations can only be accepted from New York State residents. For out-of-state donations, please contact Preston Evans, Vice President Development & Donor Relations, at pevans@achieveny.org.
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Upon request, a copy of the latest annual report can be obtained from the organization, or from the
Office of the Attorney General, by writing the Charities Bureau, 120 Broadway, New York, NY 10271

Annual Appeal

Donation Recognition Levels

Donation Form

Coming Soon