Donate
Donate to Jeff Kornblau Partners for Patient Advocacy
Choose amount
Payment
Information
Payment
Choose amount
Donate to Jeff Kornblau Partners for Patient Advocacy
One-time
Monthly
A donor account is created automatically for recurring donations. Account setup info will be emailed to you.
You can log in to edit your recurring donation any time
$
Dedicate my donation in honor or in memory of someone
In honor / memoriam
In honor of
In memory of
Honoree Name
Person to notify
Recipient Name
Notify this person by
Email
Postal mail
Recipient Email
Recipient Address
Message for the recipient (optional)
Write us a comment
Your comment
Choose a payment option:
First Name
Last Name
Make donation anonymous
The organization will always keep your personal information private. This option will further mark your donation as Anonymous in their donation records.
Email
Phone
Optionally add
to cover processing fees
One-time
Monthly
Please fix the errors above.
By using Apple Pay, you will provide your name, e-mail and address.
By using Google Pay, you will provide your name, e-mail and address.
Save my information for future donations.
PAYPAL
You will be redirected to PayPal.com
after clicking the donate button below.
Create a donor account to manage my donations and donate again faster.
Optionally add
to cover processing fees