With the exception of the Blue Ridge Independent Living Center logo, the graphics and site design were done by M. Ebbett and are donated for use by Blue Ridge Independent Living Center and may not be reproduced without permission.

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Donations

One out of every five people has some form of a disability. The Blue Ridge Independent Living Center, Inc. assists people with disabilities to lead independent lives. The Center also promotes community change and awareness. Help us to assist more individuals!  Please print this form and mail it to the address listed below.  All gifts are tax deductible.

NAME: ____________________________________________________

ADDRESS _________________________________________________

CITY, STATE ZIP ____________________________________________

Circle One:

$10    $25    $50    $100    $250    $500    Other

Your gift may be made in memory of a deceased loved one or in honor if a special occasion. Such gifts will be acknowledged to the person you designate without mentioning the amount given.

Circle One:

In Memory of    In Honor of

NAME _____________________________________________________

ADDRESS _________________________________________________

CITY STATE ZIP _____________________________________________

Please make check payable to:

 the Blue Ridge Independent Living Center, Inc.

Please mail to:

Blue Ridge Independent Living Center, Inc.

 1502B Williamson Rd. NW Roanoke, VA 24012