Download Mail-in Donation Form - MD Anderson Cancer Center

Mail-In Donation Form
Thank you for your gift to The University of Texas MD Anderson Cancer Center. Since 1941,
caring individuals like you have faithfully partnered with us in Making Cancer History®.
When you have printed and completed this form, please mail it with your donation to:
The University of Texas MD Anderson Cancer Center
P.O. Box 4486
Houston, Texas 77210-4486
Please complete the following:
Mr.
Ms.
Mrs.
Mr. & Mrs.
Miss
Dr.
Name ___________________________________________________________________________
Address _________________________________________________________________________
City, State, Zip ___________________________________________________________________
Daytime Phone _________________________________ Email Address ______________________
Amount of Donation _____________________ (Make checks payable to MD Anderson Cancer Center)
Gifts to MD Anderson Cancer Center are tax deductible to the extent allowed by the law.
We send our donors tax acknowledgements for gift amounts of $10.00 or more.
Please indicate how we are to use this gift:
Volunteer Endowment for Patient Support
Please tell us if this gift is in
Memory of:
Volunteer Services Support Programs
Honor of:
Name of deceased/honoree __________________________________________________________
Would you like us to notify someone of this gift? If so, who?
Name ___________________________________________________________________________
Address _________________________________________________________________________
City, State, Zip ____________________________________________________________________
Email Address_____________________________________________________________________
Matching Gift: If available to you, this option may increase the size of your gift.
Please tell me if
my employer or
my spouse’s employer has a matching gift program.
Employer _______________________________________________________________________
From time to time, we may share your name with other non-profit organizations or send you fundraising
communications. You may opt out of either or both by sending an e-mail to [email protected].
If you have questions, please call us at 713-792-3450 or 800-525-5841.
Revised July 2011
www.mdanderson.org/gifts