Gift Certificate – Sampler Pack

Designate funds for a specific individual to attend a combination of classes/events up to $100 value.

Access to Advocacy Links representative (1 hour/quarter) to discuss and coordinate support needs and
registration for events.

Guest Checkout

Price:

$100

Your First Name:* First Name Required

Your Last Name:* Last Name Required

Your Address Line 1:* Your Address Line 1 is Required

Your Address Line 2: Your Address Line 2 is not valid

Your City:* Your City is Required

Your Country:* Your Country is Required

Your State/Province:* Your State/Province is Required

Your Zip/Postal Code:* Your Zip/Postal Code is Required

Recipient Name:* Recipient Name is Required

Recipient Email:* Recipient Email is Required

Recipient Phone: Recipient Phone is not valid

Recipient County of Residence:* Recipient County of Residence is Required

After what date should we contact the Recipient to discuss their event options and choices? :* After what date should we contact the Recipient to discuss their event options and choices? is Required

Your Email:* Invalid Email

Account Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

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Description	Amount
Gift Certificate - Sampler Pack – Payment	$100.00
Total	$100.00

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Gift Certificate – Sampler Pack

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