Please review all of the fields below that are marked with a "*"

HELP FIND A CURE

What’s the biggest risk factor for macular degeneration? Age

Age is the biggest risk factor for macular degeneration, but other things like smoking, sun exposure, and diet also play a part. It is a terrible, sight-stealing disease, but you can help. In honor of Macular Degeneration Awareness Month, your gift today can DOUBLE, up to $50,000, and go twice as far to advance research and empower individuals and families with vital resources.

Thank you for your support.

1. Gift Information * = required

Please Make My Gift

One time

Monthly

A monthly gift does EVEN MORE to help fund important macular degeneration research.

I Would Like To Donate

This is an honor/memorial gift

Honor/Memorial Information

Make This Gift *

Please renew my gift every year on this day in memory of my loved one.

Send Notification: *

By Email

By Mail

No Notification Required

Send Notification To *

Email Address *

Address *

Country *

Zip Code *

City *

State *

Choose a card design

Personal Message

2. My Information

Email Address *

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Country *

By providing your email address, you will receive periodic communications from Macular Degeneration Research. You may unsubscribe at any time.

3. Payment Information

Payment Method

Credit Card

PayPal

Donor-Advised Fund

Card Number *

Enter your credit card number without spaces or dashes.

Expiration Date *

Card CVC *

I’d like to cover the processing fees so my donation funds even more ground-breaking research.

My billing information matches the information provided above.

Billing Address 1 *

Billing Address 2

Billing Country *

Billing Zip Code *

Billing City *