Easterseals Blake Foundation is an Arizona Qualifying Charitable Organization! Your contribution supports Arizona's most vulnerable and because of you, EBF provides services to more than 40,000 children, adults, and families each year. Your generosity makes it possible for EBF to offer services in 10 southern Arizona communities where all people live healthy, productive, and independent lives. Make a gift today!
Arizona taxpayers must use the QCO Code to claim tax credits for contributions to EBF. Use Form 321 and QCO code 22058 Aviva Children's Services is a Qualifying Foster Care Organization. Use QFCO code 10022. QFCO - Form 352 must be submitted with your return for contribution credit.
Please complete this form for any in-kind donation to the organization.
Please make payable and mail to:
Easterseals Blake Foundation7750 E. Broadway Blvd., Ste. A200Tucson, AZ 85710We accept all major credit cards, call us at (520) 327-1529.
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In-kind donations items are also accepted. Include this completed form when dropping off your donation.
Notice To Patients / Aviso Para Pacientes:
This practice serves all patients regardless of ability to pay. Discounts for essential services are offered based on family size and income. Thank you.
Esta práctica sirve a todos los pacientes, independientemente de la capacidad de pago. Descuentos para los servicios esenciales son ofrecidos dependiendo de tamaño de la familia y de los ingresos. Gracias.
Easterseals Blake Foundation programs are in accordance with Federal Titles VI and VII requirements of the Civil Rights Act of 1964 (See Notices of Compliance: Easterseals Blake Foundation | Who We Are), the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975.
This organization is an equal opportunity provider and employer.
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