The Brain Tumor Foundation, Inc. is a 501(c)(3) Charitable Organization and Your Donations are Tax Deductible, to the full extent of the law.

Please Fill Out the Form and Mail with Donation to Address Below

Yes we want to support the BRAIN TUMOR FOUNDATION for CHILDREN, INC.

$25__ $50__ $100__ $250__ $500__ $1000__ Other_____

Please send your donation to :

BRAIN TUMOR FOUNDATION for CHILDREN, Inc.
6065 Roswell Road NE
Suite 505
Atlanta, Ga 30328-4015

Name:
Address:
City:                                    State:           Zip Code:   

My employer has a matching gifts program.

Company Name:                                    Phone #

Special Donations:

In loving memory of: (Name)

In Honor of: (Name)

Birthday         Anniversary         Encouragement        Get Well

Holiday         Thank you         Other Occasion:

Please Inform: (Name)
Address:
City:                                  State:           Zip Code:   

That a gift has been made by:

Receipt requested ?: Yes / No

Please make checks payable to:
BRAIN TUMOR FOUNDATION for CHILDREN     or     BTFC
Please add my name to your mailing list. Yes / No
THANK YOU FOR YOUR TAX DEDUCTIBLE GIFT