Donate Now - Granite State Independent Living

You have the power to make a difference in the life of your New Hampshire neighbor. No matter how big or small, your gift will make a lasting change in the life of a senior or a person with a disability in your local community.

Donation Form

$ Donation Amount:

Make this donation monthly

Personal Info

First Name *

Last Name *

Company Name

Email Address *

Phone # *

Address *

City *

State *

Zip *

Would you like to donate to a specific event? (Please select from drop down)

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Special Instructions (i.e. Is this a wheelchair basketball sponsorship? If so, what is your player's name? Or if it's a memorial gift, please specify.)

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Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Donation Total: $25 One Time