Mail in Donation

Thank you for your support. Please use your "Print" button on your browser to print the form below, and send it, along with your check, to:


Ovarian Cancer Alliance of Oregon and Southwest Washington
PMB 243 Suite 103
16420 SE McGillivray
Vancouver, WA 98683-3461

 

Ovarian Cancer Alliance of Oregon and Southwest Washington

My Name: __________________________________________________
Address: __________________________________________________
City, State ZIP: __________________________________________________
Phone: __________________________________________________
Email: __________________________________________________

In Honor of
In Memory of
In Appreciation of
  __________________________________________________

Support a Specific Program

(Optional -- choose if you want you donation earmarked for a specific program.)
Trust Your Gut ovarian cancer awareness campaign
By Your Side chemo care kits

Please send an Acknowledgement to:
Name: __________________________________________________
Address: __________________________________________________
City, State ZIP: __________________________________________________
 
Amount Enclosed: ______________________________
We are a 501(c)(3) organization. All donations are tax-deductible.

 


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We are a registered 501(c)(3) Non-Profit Corporation. EIN: 20-2558493 Copyright © 2005-2017 Ovarian Cancer Alliance of Oregon and Southwest Washington. All rights reserved.
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