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 now with one of the choices 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 to...

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