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Your donation DOUBLED through April 30 thanks to anonymous donors who pledged to match your gift!   DONATE NOW!

Stipend Request Form

Fill out the form below completely. 

Payment can be made via ACH, check, or PayPal. ACH and PayPal are preferred, and will give you the fastest reimbursement. Checks are mailed through our BillPay service and will take 10-15 business days.

Any questions should be emailed to sue@ataxia.org.  Thank you!

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