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To Mail a Donation to Ann's Place, please print this page, fill in the form and mail it in.
Or you can download the PDF form, print it, fill it in and mail it.
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Donate By Mail |
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I (We) would like to support your work helping people with cancer and their loved ones at Ann’s Place, The Home of I CAN. Enclosed is my tax deductible donation for_________ □ Check (Please make payable to I CAN, Inc.) □ MasterCard/VISA/AmEx #__________________________Exp. Date_________ Signature on card___________________________________Date of gift__________ Name(s)_____________________________________________________________ Address_____________________________________________________________ City_______________________________State_____________Zip_____________ My gift is in memory of________________________________________________ My gift is in honor of__________________________________________________ Please notify the following person(s) of my gift: Address____________________________________________________________ City________________________________State_____________Zip____________ Email address________________________________________________________ |
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