Donate YES! I WANT TO HELP CAPITAL DISTRICT CENTER FOR INDEPENDENCE, INC. PROMOTE INDEPENDENT LIVING FOR PEOPLE WITH DISABILITIES Please click here to read our Mission Statement. (printable form) Name: ___________________________________ Address: _________________________________ City: ____________________________________ State: _________ Zip: ______________________ Phone: __________________________________ E-mail: __________________________________ Please Print Clearly Enclosed is my gift of $ ______________ Please mail completed form to: Capital District Center for Independence, Inc., 875 Central Ave., South 4, Albany, NY 12206 Please be reminded your gift is tax deductible up to the extent permitted by NYS and Federal Laws. A receipt will be mailed to you for your records. Copyright © 1998 CDCI All Rights Reserved