Autism Research Institute Donation Form

ARI's work relies on charitable contributions from concerned individuals and organizations. We are proud to be the only autism non-profit to be awarded the coveted 'Four Star Award" by Charity Navigator for sound fiscal management. All donations are tax deductible; ARI is a 501(c)(3) organization, Fed ID No. 95-2548452.

Please print out this form and fax or mail to ARI.

mailing address:	Autism Research Institute 4182 Adams Avenue San Diego, CA 92116 USA
fax:	619-563-6840

Name:

Address:

Country:

Phone:

Donation amount:

In memory of, in honor of, or special program for donation:

Payment method
Check Number:

or

Credit Card Number:

Exp:

3-digit security on the back of your card:

Thank you for your support of the Autism Research Institute.