Make a Donation

The online donation and commemorative gift process requires 2 steps. In order to donate or give to MHA, you must complete both steps.

STEP 1: Fill out the Contact Information Form below and click SUBMIT. You will be directed to a page that will confirm your information has been sent to MHA.

STEP 2: Then click DONATE. You will be directed to the PayPal website that will allow you to donate with your credit card or through your PayPal account.

It’s that easy. Get started now.
(If you’ve already submitted the Contact Information Form below but have not yet submitted your donation payment, click here.).

Donor Information
	* required information
Donor Information
*Name
*Address 1
Address 2
*City
*State
*Zip
Phone Number
*Email Address

*Amount of Your Donation/Gift:
About Your Gift

Commemorative Gift Information (complete this section only if you are making a commemorative gift):
Name of Individual to be Remembered/ Honored
This gift is:	An expression of sympathy
	Other Please specify
Name and Address of Family or Individual to be Notified of Your Gift:
Name
Address 1
Address 2
City
State
Zip


May we contact you?	Yes! Please keep me informed about additional opportunities to support the work of The Mental Health Association in Suffolk County. Add me to your mailing list to receive publications, event invitations and requests for support.
	No. I prefer not to receive mailings from The Mental Health Association in Suffolk County.