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The Michigan Paralyzed Veterans of America works with Associated Community Services of Southfield, Michigan, to seek financial support from Michiganders and to spread the word about our great programs!  We hope that you will consider contributing by telephone if contacted.  In addition, you can contribute to our services online by clicking here.  Michigan’s paralyzed and disabled veterans thank you!

Please print the form below, fill in your information, and mail to:PRINT
Michigan Paralyzed Veterans of America
40550 Grand River Avenue
Novi, MI 48375

  • Your First Name:
  • Your Last Name:
  • Address:
  • City:
  • State:
  • Zip:
  • E-Mail:
  • Phone:
  • Contribution Amount (circle one):      $15      $25      $50      Other
  • Payment Method (circle one):      Check      Credit Card
FOR CREDIT CARDS ONLY:
  • Credit Card Type (circle one):      Visa      MasterCard
  • Card Number:
  • Exp Date:
  • Signature:
FOR HONORARY AND MEMORIAL GIFTS:
  • My gift is (circle one):      In honor of      In memory of
  • Prefix (Mr., Mrs., Mr. & Mrs., etc), First Name, Last Name:
  • Please send an acknowledgment to:
    • Prefix (Mr., Mrs., Mr. & Mrs., etc):
    • First Name:
    • Last Name:
    • Address:
    • City:
    • State:
    • Zip:
Michigan Paralyzed Veterans of America
40500 Grand River Ave.
Novi, MI  48375
(800) 638-MPVA (6782)