Fashions-4-A-Cure Donation Form

Thank you for your interest in supporting "Fashions-4-A-Cure." To send a donation in support of this exciting event, please print and complete this form and send it, along with your donation (checks only, please) to "Fashions-4-A-Cure" at the address listed below.

Name of Donor:

Name of Corporation: (If applicable)

Street Address:

City, St., Zip:

Phone Number:

Email Address:

Please mark the appropriate donor level by writing the exact donation amount on the line. For example, if you wish to donate $850, please write "$850.00" on the SILVER DONOR line.

Yes! I would like to support Fashions-4-A-Cure. Enclosed, please find my donation in the amount of:

$____________________ GOLD DONOR: $1,000 or above

$____________________ SILVER DONOR: $500 - $999

$____________________ BRONZE DONOR: $250 - $499

$____________________ OTHER AMOUNT

Please make checks payable to:

International Myeloma Foundation
Please send donations to:

"Fashions-4-A-Cure"
8410 Avonside Court
East Amherst, NY 14051

_____ Please contact me regarding tax write-offs for my donation.