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Select gift frequency
I would like to make a one-time gift of:
(gifts must be more than $10 if donating online.)
I would like to make a recurring gift.
$
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Total Gift Amount
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NOTE: This transaction will count as the first payment toward your total gift amount.
Matching gifts
are an easy way to increase your donation. Your employer could potentially double or triple your contribution.
Yes, my company offers a matching gift program.
Company Name:
Matching Gift Amount:
$
Please request a matching gift form from your Human Resource department. Complete the form and mail it to:
CANCER101 Inc.
429 East 52
nd
Street, Suite 25D
New York, NY 10022.
It's that easy!
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Donations/Billing: 429 East 52nd Street, Suite 25D, NY, NY 10022 • Office: 263 West 38th Street, 16th Floor, NY, NY 10018
T: 646-638-2202 F: 646-349-3035 E:
info@CANCER101.org
Copyright 2010 © CANCER101 Inc. | CANCER101 is a 501(c)(3) nonprofit | CANCER101 and C101 are registered trademarks