The Desert Cancer Foundation of Arizona: Donate to DCFA -- In Honor Of

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IN MEMORIAM

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Yes, I wish to make a gift to The Desert Cancer Foundation of Arizona.

Name
Address
10 digit Phone #
Email
Donation Amount	$50 $75 $100 Other Amount:
Payment Method	I will mail a check I will use my credit card or PayPal account Please contact me to arrange for payment Other:
Event Donation If your donation is to support an upcoming event, please indicate the name of the event here
Do you wish to have your name listed on the Desert Cancer website as a contributor?	Please list my name Do not list my name
If your gift is being made on another's behalf, please indicate the type of gift below. Your gift will be acknowledged to the person(s) of your choice if names and addresses are provided.
In Memory Of: In Honor Of: Gift in Kind: Thank You Gift:	Designee
Acknowledgement Instructions Complete this section if you would like an acknowledgement sent.

DCFA is a 501c3 nonprofit organization. All Contributions are tax deductible to the maximum extent allowed by law.
TAX ID# 86-0916749

P.O. Box 2796 Chandler, AZ 85244-2796 Phone: 480-763-6897 Email: inquiries@desertcanceraz.org

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