UNITE FOR HOPE AND HELP US PROTECT CHILDREN AND ADULTS Unite for Hope and help us protect children and adults in New Jersey by providing support for our wellness programming and programs dedicated to caring for prediabetes, type 1, type 2 or gestational diabetes. Your generosity guarantees that your neighbors, colleagues, friends and family members can access the support they need to get on track, or stay on track, with their diabetes care. Making an online donation to the Diabetes Foundation is safe and secure. Every gift makes an impact on someone’s life providing essential and often lifesaving support. Onetime and Monthly Donations Your support will go a long way to helping us help a child or adult in need. Please consider a monthly gift at one of these levels to ensure we can provide help, hope and better health to those in need. $10 covers: 3-day supply of affordable test strips $20 covers: 1 affordable glucometer $50 covers: 1 round-trip ride to a medical appointment $250 covers: 1 Diabetes Supply Care Kit $500 covers: 2 months of lifesaving insulin $1,100 covers: 1 week at diabetes camp Make this a Monthly Donation Payment Information First Name Last Name Email Address Address City State Zip Mobile Phone (Optional) Make checks payable to: The Diabetes Foundation, Inc. 411 Hackensack Avenue Suite 702 Hackensack, NJ 07601 Honoree Information This gift is in honor or memory of someone special Donation In Memory In Honor Congratulations Shoprite Walk N/A Name: Wording in email (max 250 characters): Please send acknowledgement to: Name: Address: City: State: Zip: Email Address: Phone Number: Payment Method Card Number EXP. Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 CVV SSL Encrypted and Secure Submit Donation If you are interested in speaking to a DF staff member please email info@diabetesfoundationinc.org or (201) 444-0337.