Donation Request
The Albertus Project is a 501(c)(3) non-profit supporting the addiction and recovery community. The Albertus Project is helping to pay for transportation to a treatment center and/or medication-assisted treatment if an individual cannot afford it.
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What is your name? (first, last) *
What is your email? *
Are you in active addiction or recovery? *
What are you requesting financial assistance with? *
What is your situation that inhibits you from being able to afford either transportation or medication? *
What is the name of the treatment center you are going to and the city? Please also provide their phone number. *
What is the cost of your transportation and/or medication? *
Please write a testimonial. If you were to receive this support, how will have the Albertus Project helped you/someone else? We reserve the right to share this information (without last names being used). *
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This form was created inside of Alex Colyer. Report Abuse