COPD Educator Institute - South Portland - American Lung Association

This website uses cookies. By continuing you are agreeing to our privacy policy.

Username Password

Forgot Username or Password?

First Last

Team

Username Password

Forgot Username or Password?

First Last

Team

Gift & Payment Information

Review Gift

Please enter your gift to COPD Educator Institute - South Portland.

Field Is Required Enter A Gift Amount:

$33.00

Represents the 33+ million who suffer from lung disease

$60.00

Provides 4 callers with support through the Lung HelpLine

$129.00

Represents the $129 billion in costs tied to lung disease

$255.00

Represents the 25.5 million Americans living with asthma

$500.00

Allows 25 to attend a LUNG FORCE Expo and receive materials

$1,000.00

Supports one Freedom From Smoking cessation clinic

Enter Amount ($5 minimum)

Enter amount

Your Information

Donor Title:

Donor First Name:

Donor Last Name:

Donor Street 1:

Donor Street 2:

Donor City:

Donor State/Province:

Donor ZIP/Postal code:

Donor Country:

Email Address:

Yes, I would like to receive communication from this organization.

Billing Information

Billing information must match the address on file with your credit card company and can be different than your registration and/or donor information.

Billing information is the same as the donor information.

Title:

First Name:

Middle Name:

Last Name:

Suffix:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

If you donate and have not already registered, you will receive periodic updates and communications from American Lung Association.

Remember Me

Payment Information

Payment Method:

Credit Card

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Check Information

RSS | Terms of Use | Privacy Policy

American Lung Association of the Northeast, 45 Ash Street, East Hartford, CT 06108 T: (860) 289-5401 | Contact Us