Support EJC in 2025-Form for Mailing Donations

The Elder Justice Coalition serves as a national voice to advocate and raise awareness of elder abuse, neglect, and exploitation. Your donation can help us in our advocacy efforts to address this crisis.

Fill out this form and include it with your check. Please make check or money order payable to the Elder Justice Coalition and mail to:

Elder Justice Coalition
1612 K Street NW
#200
Washington, DC 20006

Setting Priorities for Retirement Years Foundation DBA Elder Justice Coalition is a 501(c)(3) organization: EIN/TIN 52-1723616

A copy of your responses will be emailed to the address you provided.
Sign in to Google to save your progress. Learn more
Email *
Phone number *
First Name *
Last Name *
Street Address *
City *
State *
Zip code  *
Are you making this donation on behalf of your organization? If yes, include the name of your organization. *
Title *
Donation amount: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Elder Justice Coalition.

Does this form look suspicious? Report