EyesOnThePrize.Org Mail-in Donation Form
To make a contribution to EyesOnThePrize.Org (a nonprofit organization), send a check or money order made out to "EyesOnThePrize.Org" to (online credit card donations may be made via PayPal):
865 Sapphire Lane
Anaheim CA 92807
Please print this page and fill out the following information so that we may properly acknowledge your gift.
Your name _______________________________________________________
Street address _______________________________________________________
City, State/Province, Postal Code _______________________________________________________
E-mail address: _______________________________________________________
Optional: This gift is in honor or memory of:
Name of survivor or deceased _______________________________________________________
Occasion (survivor anniversary, death, etc.) _______________________________________
Type of Cancer: _______________________________________
Mailing or e-mail address for acknowledgment note (if other than above):
If you would like your deceased loved one to be listed on our memorial page, please provide the following additional information:
Birth Date and Death Date _______________________________________________________
City, State/Province, Country _______________________________________________________
Tribute line: _______________________________________________________
E-mail contact for condolences: _______________________________________________________
The US Internal Revenue Service has granted EyesOnThePrize.Org 501 C3 tax-exempt status. Gifts to EyesOnThePrize.Org are tax-exempt in the USA to the full extent of the law. We will soon begin our incorporation and tax exemption process in Canada.
For more information, contact our Treasurer.
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