Memorial Donation

In Memory Photo

Donate to the Myasthenia Gravis Association to honor a deceased loved one or friend with the online form below.

You may also donate by check and send the donation form through the mail.  Download and Print Donation Forms.

Remember to name Myasthenia Gravis Association of Southeast Michigan as a beneficiary in your estate planning or will.

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MEMORIAL DONATION FORM
Namein Memory of
Send card to:
Name
Addressto send card
City
State
Zipcode
Donor NamePerson(s) making donation
Address
City
State
Zipcode
Donor’s message (optional):
0 /
Donation Amount

Payment options: Mastercard, Visa, Discover, American Express and PayPal. A PAYPAL ACCOUNT IS NOT NECESSARY TO PAY. Look under the PayPal members login for a link to pay with a Credit Card. All payments are made through PayPal's secure payment portal.


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Donation1[field9]

Please don't hesitate to call our office if you have any questions and/or issues with the online registration form. 


Phone: (248) 591-4419

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