Employee Portal Donate If you are already a donor and would like to remove yourself from our monthly donation list, please fill out this form. Donation Amount* Make this my monthly donation* Yes No We will automatically receive your gift each month. Dedicate my donation.* Yes No Honor someone special with your gift. Do you want to send an acknowledgement of this donation to a family member or someone else?* Yes No Payment Information Donor Name* First Last Donor Phone* Donor Email* BIlling Address* Street Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Credit Card American Express Discover MasterCard Visa Supported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 Expiration Date Security Code Cardholder Name CAPTCHA Get Help For Yourself, a Family Member, or a Friend Find Out More About Us And The Work We Do Join Our Team Start a Career Where You Can Make a Difference © Copyright 2021 Aletheia House A Special Kind of Caring Tel: (205) 324-6502 info@specialkindofcaring.org View All Locations Privacy Policy