Buy Brick by mail

Thanks to the generosity of the participants like you, Assistance in Healthcare is able to keep families together during a time of illness. Your support is greatly appreciated.

Please fill in the form below to download the form.

First Name *

Last Name *

E-mail Address *

Phone Number *

Please complete the form and mail to:
Assistance In Healthcare, Inc.
P.O. Box 5157
Goodyear, Arizona 85338

If you are sending a check, be sure to specify that you would like to designate your donation to AIH Goodyear on the memo line of your check.

Buy Brick using PayPal