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An apple a day

Celebrate life after cancer

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I just love your wig!

Contribution

Honoree Info

Donor Info

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Confirmation

I'd Like to Give!

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.

Gift Amount	# of Payments	Payment Frequency	Total Gift Amount
$	X		$
NOTE: This transaction will count as the first payment toward your total gift amount.

My Company Matches Donations

Matching gifts are an easy way to increase your donation. Your employer could potentially double or triple your contribution.

I would like my donation to be given in honor/memory of a friend
or loved one.

And/ Or

I’d Like to Help! Please check all that apply:

C101 will contact you once you submit

	I would like to sponsor a cancer center that C101 deems the neediest
	I would like to sponsor a cancer center of my choosing
	I have contacts that I believe might help further C101’s mission
	I would like to learn about C101’s Steering Committee activities and responsibilities
	I would like to learn about C101’s Board of Directors’ activities and responsibilities
	I would like to learn about corporate sponsorship opportunities
	I have a potential office space solution

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