How to Donate

You may send your gift to FJCILF directly or pledge a gift of any size by filling out the form below. A reminder of your commitment will be mailed along with a remittance envelope for your check or money order payable to the FJCILF in U.S. Dollars. (By not accepting credit cards, we can apply more of your contribution directly to research fellowships.)


	Contact Information

	Donor's Name
	Address Line 1
	Address Line 2
	City, State/Province	,
	ZIP/Postal Code
	Country
	E-mail
	Telephone Number
	My gift is in the amount of	$ USD

	Optionally, designate your gift for a particular occasion

	This gift is


	Please notify the following in connection with the gift designation

	Name
	Address Line 1
	Address Line 2
	City, State/Province	,
	ZIP/Postal Code
	Country
	Signed by

	My company will match my gift. (I will also send the appropriate forms).

Confidentiality Statement



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	Copyright © 1999-2010. The Friends of José Carreras International Leukemia Foundation. All rights reserved.