Donations

The Diabetes Foundation of Mississippi is an independent, nonprofit organization working for the diabetic needs of all Mississippians– from our children to our seniors.

Through your support, we are able to provide the following programs and services to Mississippians:

• We Care 2
• It’s Not a Sweet Subject
• Camp Kandu
• Parent-to Parent networking
• Patient-Education meetings
• Professional-Education meetings
• Diabetes classes
• Diabetes on Call (D.O.C.)
• Helping Hands patient assistance
• Empowerment health screenings
• Diabetes Discovery Week
• National Diabetes Month
• Lifesaver Campaign for Law Enforcement
• Firefighters against Diabetes
• Do It for Me healthy-living program
• Diabetes car tags and driver’s licenses
• Diabetes research at the University of Mississippi Medical Center

Ninety-two cents of every dollar donated goes toward the charitable purpose. Your tax-deductible donation helps save lives, so on behalf of the 346,500 Mississippians living with diabetes, thank you for your kind support.

Title:	--- Select a title --- Mr. Mrs. Ms Miss Dr. Organization
*First Name:
Middle Initial:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:	--- Select a state --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip Code:
Phone Number:
Business Phone:
*E-Mail:
*Type of Donation:	One Time Donation Monthly Donation
*Donation Amount:
*Credit Card Type:	Visa Mastercard American Express
*Credit Card Number:
*Expiration Date:	Month: -- 01 02 03 04 05 06 07 08 09 10 11 12 Year: ---- 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Family Member with Diabetes:	Spouse Self Child Other
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