On behalf of the Autism Society of Pittsburgh, we would like to thank you for your generous donation.  In order for us to complete the process, we ask that you complete this form.  This will allow us to honor your special someone.  While some of the information is repeated from the Paypal form, it allows us to ensure that the Memorial is rightfully administered.  Once again, thank you.


Please Complete the form below.


Donor Information

Donation Type