A Tax Deductable Contibution to AHEC

How You Can Help AHEC

Volunteering at AHEC

  

Please complete the following Donor Form for your Tax Deductable Donation
Your donation can help fund the important work of Camden AHEC. Here are some examples: 

$5,000 provides home-health visits to 250 uninsured senior and disabled citizens.    

$2,000 trains two medical students for treating uninsured clients in medically-underserved communities.

$1,000 covers supplies, counseling and HIV-preventive education for 100 high-risk school children.                 

$500 brings medical testing, education, counseling and access to free care for 25 homeless clients.                                  

$300 provides two weeks of after-school tutoring, mentoring and preventive health education.                           

$200 pays for gas to keep AHEC’s Mobile Community Health Van on the road for one month.                                

$100 stems HIV/AIDS infections with education, counseling and condoms for high-risk clients.                          

$50 supplies snacks and juice for hungry individuals who come to the AHEC van for care.

_$________  Choose an amount to be used for help where it’s needed most.                            

____   Check   ____ Visa   ____   Master Card   *   Account #________________________  

Exp. date _________

Signature __________________________________   Name (print) ___________________________

Address______________________________ City & State _____________________ 

Zip __________________

Email Address ___________________________________________________  

Telephone __________________ 

Please send your gift to:

Camden AHEC
514 Cooper St.
Camden, NJ 08102
For questions call: (856) 963-2432 EXT 212
OR Email: brill_d@camden-ahec.org