Donate by Mail, Phone, or Fax

Make a tax-deductible donation now to advance early diagnosis, treatments, and ultimately, cures for PI. Your contribution, large or small, fuels our commitment to making a lasting impact on individuals and families affected by PI worldwide.

To pledge your donation, complete the form below. We’ll contact you to process payment, or you can print the completed form to mail or fax to us.

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Your donation is tax-deductible. As a 501(c)3 tax-exempt organization, The Jeffrey Modell Foundation ensures that your contribution is deductible under U.S. law. Keep your email receipt as the official record for claiming the deduction on your U.S. taxes, which you will receive promptly upon completing your donation. Our Tax ID/EIN is 13-3380237.

Mail or Fax Donation Form

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Jeffrey Modell Foundation
780 Third Avenue
New York, NY 10017
(212) 764-4180