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Brown Cancer Center

Support the Mary Jane Gift Quality of Life Fund at UofL Health – Brown Cancer Center

Harness the healing power of gratitude by supporting the Mary Jane Gift Quality of Life Fund.

Funds raised will be used to improve the lives of patients undergoing cancer treatment at Uofl Health - Brown Cancer Center through the provision of lodging and meals.

Donation Form

Gift Information

Amount:

$25.00

$50.00

$100.00

$250.00

$500.00

Other

$

*

Additional Information

Type of gift:

One-time gift

Recurring gift

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Please send me information about Planned Giving:

Spouse/Partner:

I would like to provide information about my spouse/partner

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First name:

Last name:

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Billing Information

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First name:

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Middle name:

Last name:

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Country:

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Address:

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City:

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ZIP:

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Phone:

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Email:

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Tribute Information (Optional)

If you would like to make a gift in honor or memory of someone, please complete the fields below.

Type:

*

Tribute Name:

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