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Make a Gift-in-Kind

There are several ways to donate to Axe Out Leukemia campaign:
  1. Complete the form below and hit submit 
  2. Complete the form below, print and fax to (508) 546-0090  
  3. Mail a check (payable to "The Leukemia & Lymphoma Society") to: 

Axe Out Leukemia
c/o Peter Klein
305 East 72nd Street #6BN
New York, NY  10021

AXE OUT LEUKEMIA - DONATION FORM

Please enter your information below:

Name
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Axe Out Leukemia
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Please choose one of the following sponsor categories:

Please confirm the amount of your donation by entering it here:

Please provide the following ordering information:

BILLING
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Does your employer have a charitable contribution match program? (Check the List)

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May I include your name on a web page or mailing thanking my sponsors?

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If you have any questions or comments, please call me at (212) 737-0852 or send an email to pklein@AxeOutLeukemia.org

Remember - 100% of your donation is tax deductible.


This site is maintained by Peter Klein and is not associated with the Leukemia-Lymphoma Society, Team-in-Training or The Light the Night Walk other than the participation in the Society's  programs of the individuals included in this site.  
Last updated on January 07, 2004 .