1

Gift Information

Thank you for supporting ALS United Greater Chicago!

Your donation will help support our local community of nearly 500 people with ALS and their families across Central Illinois, Northern Illinois, and the Greater Chicago area, through comprehensive care services, advocating for their needs, and funding cutting-edge research advancements.

You are making a gift to support John Shanks, fundraising for 2024 Walk ALS Chicago.

If you'd like to mail in your gift, please click here for our printable donation form.

Your Gift

Field Is Required Select Gift Amount:

$50.00

$100.00

$200.00

Enter an Amount

Enter amount

Yes, you can display the amount of my donation publicly

Donor Information

First Name:

Last Name:

Suffix:

Yes, make this an anonymous gift.

Recognition Name:

Personal Note:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Yes, I would like to receive communication from ALS Greater Chicago Chapter.

Payment Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Transaction Fee

Yes, I'd like to cover my transaction fee.