Quadriplegic AMA

First Name *

Last Name

Email Address: *

Make this an anonymous donation.

In order to make an offline donation we ask that you please follow these instructions:

1. Make a cheque payable to "Higher Than Superman"
2. On the memo line of the cheque, please indicate that the donation is for "Higher Than Superman"
3. Please mail your cheque to:

    Higher Than Superman
    111 Not A Real St.
    Anytown, CA 12345

All contributions will be gratefully acknowledged and are tax deductible.