Donation Form

You can donate to Independent Connection by check or online. All donations will be gratefully acknowledged and are tax-deductible.

Select a Payment Method:*
- PayPal Donation
- Offline Donation
Donation Amount:*
Full Name:*
First Last
Email:
Company:
Would you like to make this an anonymous donation?
- Yes
Billing Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
In order to make an offline donation we ask that you please follow these instructions:
1. Make a check payable to "Independent Connection Inc."
2. On the memo line of the check, please indicate that the donation is for "Independent Connection Inc."
3. Please mail your check to:
  Independent Connection Inc.
  436 S Ohio Street
  Salina, KS 67401
All contributions will be gratefully acknowledged and are tax deductible.
Donation Total:
$0.00
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Interested in Our Services?

If you have questions about any of our independent living services, please contact us at (785) 452-9580. We look forward to speaking with you!