Donation Form

Your generous donation helps children and adults with disabilities achieve their goals.

Together we can make it happen.


We need your help to continue to provide exceptional services and support to people with a disability. Thank you for supporting Aptiv. Your gift is tax deductible.

You can make your donation to the area of greatest need or choose one of Aptiv's funds or endowments. Learn about your giving choices or give now using the secure form below.


Donate by:

  • Calling us at 608-784-9450

  • Printing this Donation Form (PDF) and mail it with your gift to: Aptiv Foundation, 3000 South Avenue,  La Crosse, WI 54601
  • Filling out the form below online

With your gift you are supporting individuals...