Donate Name* First Last Email* PhoneAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Donation*Select Donation TypeGeneral DonationSensory RoomDonation in Memory of...iCan Bike Donation (formerly Lose the Training Wheels)Monthly Recurring DonationGeneral Donation Thank you for your generous donation. The role of our Foundation is to establish and foster support from individuals, businesses and organizations in an effort to further the goals and ideals of FVSRA. Together we can help make it possible for individuals with disabilities to experience an active and healthy lifestyle. FVSR Foundation is a 501(c)3 organization. Please consult your tax advisor for tax deductibility.Donation in memory of... Thank you for your kind donation. The family will be notified of your generosity. The role of our Foundation is to establish and foster support from individuals, businesses and organizations in an effort to further the goals and ideals of FVSRA. Together we can help make it possible for individuals with disabilities to experience an active and healthy lifestyle.Donation Amount:* Additional Notes, such as persons name in honor/memory of:*If no additional notes please enter "None".Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.