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Thank you for making a contribution to the "Find a Cure" walk.


For credit card sponsors, go to the next page by clicking on
the donate iconhere and again on the next page.

For cash or check sponsors, please print a copy of this form
and mail or give it to me with your contribution.
 

Participant: Bill Smith
Address: 842 S. 8th Street
City: Lindenhurst, NY

Phone: 631 225 0058
631 813 5385 cell

Please make checks payable to GIST CANCER RESEARCH FUND. All contributions are tax-deductible and will be used for GIST research. Tax ID # 13-4182988-501(c) (3) status. The consultant and medical advisor for the Fund is Dr. Ephraim Casper from Memorial Sloan Kettering Cancer Center.

 

SPONSOR

ADDRESS

CONTRIBUTION


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Please bring this form and all contributions with you on the day of the Walk. If unable to attend, please forward contributions to GIST CANCER RESEARCH FUND, 55 Saw Mill Road, New City, NY 10956.

GIST is a cancer that has no cure and afflicts thousands of people annually. With your help, research has helped to prolong and improve the quality of life for those coping with this cancer. We can't do it without you! Thank you for your support!
Tania Stutman, Chairwoman (845) 634-1174

gistcancerfund@aol.com
www.gistinfo.com


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