Donate

Sponsorship / Donation Form

Friends-4-Cures is a nonprofit organization devoted to raising funds that facilitate cancer research with an emphasis on testicular cancer.

Contact Information

Company: _________________________________________________________

Contact Name: ______________________________________________________

Mailing Address: ____________________________________________________

City: ______________________ State: _____ Zip: _________________________

Phone: ___________ E-mail: __________________________________________

Amount $_______________

I would like to receive recognition for my donation: Yes _____    No _____

YOUR COMMENTS:

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

Enclose a note with your donation and include the following information:

1. The name of the person honored or memorialized.
2. The name and address of family member(s) to whom you would like an acknowledgment sent.
3. Designate whether the donation is “In Memory Of” or “In Honor Of"

PLEASE PRINT THIS USING YOUR BROWSER'S PRINT FUNCTION AND
RETURN WITH YOUR CHECK MADE PAYABLE TO:

Friends-4-Cures
P.O. Box 324,
Henderson, KY 42419

We thank you for your support.