DONATE TO AMSA
Dedicated to improving air medical coverage to you, your loved ones and your community in areas where air medical care may be limited.
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YOUR TAX-DEDUCTIBLE DONATIONS ARE WELCOME!
In cooperation with the Golden Keep Foundation, with a minimum monthly donation of $10.50; donors receive FREE access to air medical aircraft.

USE THE FORM BELOW TO DONATE NOW

I understand that my contribution is 100% tax deductible. I also understand that my charitable contributions will be used to pay for fuel, pilots and paramedics to fly a life saving mission.


Project
Full Name
Address
City
State / Zip    
Phone
Fax
E-mail

I would like to make a one time contribution of:
and/or - I would like to contribute the following amount per month:

Payment Type
Credit Card
Credit Card Number
Expiration Date
Cardholder Name
Bank Name
City / State    
Transit Number
Account Number

Please verify that all information has been entered correctly.
   
You may also print and fax this form to: 425-513-2292

You may also donate to AMSA by calling
1-800-821-KEEP
Please refer to this website when calling.
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