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Contributions:

Your donation to Iowa Protection and Advocacy Services, Inc. will augment the advocacy program in providing non-legal
and legal advocacy services to children and adults, in Iowa, who have a disability diagnosis. Donations may be identified
as a tribute to recognize a special individual or you may designate the contribution for specific use in assisting people
with disabilities who have been abused/neglected, housing issues, special education issues, problems with employment
or who desire to move from an institutional environment to the community.

On behalf of the Iowa P&A clients, Board of Directors and staff, thank you for your consideration in giving people with
disabilities the opportunity to experience an abundant life.

IP & A Contributions Form:

Yes, I want to make a financial contribution to the important services provided by IOWA PROTECTION AND ADVOCACY
SERVICES, INC. Please print this page, fill it out, and send it with your contribution to:

Iowa Protection and Advocacy Services, Inc., 950 Office Park Road, Suite 221, West Des Moines, IA 50265.

Name
Address
City, State, Zip
Phone
Contribution Enclosed
All contributions are tax deductible within the limitations of the law.
This gift is made ___in honor of or ___in memory of:
Please send a notice of this gift to:
I would like to pledge $__________ per __________
Please send me a reminder.
Signature ____________________________________________________________
Iowa Protection and Advocacy Services, Inc.
Gratefully Appreciates Your Support!

Tel: (515) 278-2502 Toll Free (800) 779-2502 Fax: (515) 278-0539 TTY: (515) 278-0571 TTY Toll Free: (866) 483-3342
Location: 950 Office Park Rd., Suite 221, West Des Moines, Iowa 50265 Email: info@ipna.org [ map]
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