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Donate Now!

Cajun Area Agency on Aging, Inc. is accepting donations for Hurricane Gustav Disaster Relief. Your DONATION will provide assistance to seniors and adults with physical disabilities for medication, food, clothing, debris removal and shelter.

To contribute, please fill out the form below.

Personal Information
Contributor's First Name:
Contributor's Last Name:
Street Address:
Address (2nd):
City:
State:
Zip Code:
Home Phone:
Work Phone:
E-mail:
Donation Amount:

Send your donation along with a print out of this page to:

Cajun Area Agency on Aging
Disaster Relief
110 Toledo Drive
Lafayette, LA 70506