To Donate: Print this page and fill out completely.

Please make checks payable to AAFA and mail to:

5900 Wilshire Boulevard, Suite 2330
Los Angeles, California 90036-4216

 

Contribution Form
Name
Address
City, State, Zip
Telephone
Enclosed is my check for: Please make check payable to AAFA So. Calif. Chapter	$

Choose the program to support:

Asthma Summer Camp

Senior Program

The Breathmobile®

AAFA appreciates your generosity!