You may download Individual Contribution form or print info below and mail or fax it with your donation to:
Your gift of $35 will provide cancer patients, family members, and friends with a relaxation/visualization, a session of massage, polarity, reiki, or touch for health, an hour and a half of yoga- all ways to help with stress reduction/management.
Your gift of $55 will provide trained leadership for one session of a support group for cancer patients,
learning ways to cope with their illness.
Your gift of $100 will supply needed resources for our lending, tape and video library.
Your gift of $800 will mail one issue of Sharings our quarterly newsletter.
Your gift of $1,000 will underwrite operation of our resource center for one quarter of the year.
Your gift of $1500 will underwrite one issue of Sharings our quarterly newsletter,
and request the issue be in honor or memory of someone in your life.
Enclosed is my contribution of $25 ____ $50 ____ $100 ____ $350 ____ other ____
Name:
Address:
City, State, Zip Code:
Phone (home or work - please circle)
If your employer has a matching gift program, please enclose your application.
____ Please check if you would like to make your donation in honor or memory of someone special and have an acknowledgement card sent to their family. In addition, you will receive a confirmation from Cornucopia House Cancer Support Center in recognition of your gift.
I wish to make my gift (please check one) In honor of: _____ In memory of: _____
Name:
Occasion:
Please send an acknowledgement card to:
Name:
Address:
City, State, Zip Code:
Please make checks payable to Cornucopia House Cancer Support Center.
Cornucopia House Cancer Support Center is a
nonprofit 501(c)(3) corporation.
Your gift is tax-deductible.
Thank you.
