HOW TO HELP

MAKE A DONATION

The Foundation depends on public support from friends like you to continue its worthwhile work. Your donation will give hope to thousands of children diagnosed with pediatric cardiomyopathy. You can either donate by 1) check using the mail-in form below or 2) credit card by clicking on the "Donate Online" button below.

Financial and operational information on the Foundation can be found on the Guidestar nonprofit database or by clicking on Financials.

Please fill out, print form and mail in with your check.

I/we would like to make a tax-deductible* donation of US$ to support the efforts of the Children's Cardiomyopathy Foundation.

General Information:

First Name:

Last Name:

Address Type: Home Business

Mailing Address:

City:

State:

Zip Code:

Country:

Phone:

E-mail:

Designation:

Please indicate whether this gift is designated for a specific fund or purpose:

Dedication:

For tribute gifts, a notification card can be sent to the honoree or deceased family member. It will acknowledge that you have made a contribution in their name without mentioning the amount.

Type of tribute gift: In Memory In Honor

This donation is in honor (living) or in memory (deceased) of:

Name & address of person or family to send a notification card:

Card to be signed from:

Employer Matching:

Does your employer have a matching gift program? Yes No
If yes, please consider sending us your company's matching gift form.

Miscellaneous:

How did you learn about our Foundation?

Please mark with a "X" where applicable:

I would be interested in receiving information about the Foundation's activities in the future.
I would be interested in learning more about other forms of gift giving.

Please make checks payable to the "Children's Cardiomyopathy Foundation" and mail your check and this printed donation form to:

Children's Cardiomyopathy Foundation
P.O. Box 547
Tenafly, New Jersey 07670
U.S.A.

Thank you for your kindness and generous support!

* The Children's Cardiomyopathy Foundation is a 501 (c)(3) tax exempt, non-profit organization. Contributions are tax-deductible to the extent allowed by law.

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