Mautner Project for Lesbians with Cancer - Fundraising







If you would like to help The Mautner Project continue its important work, please download or print this form and mail it to us.


Here is my contribution of:

___ $50

___ $100

___ $250

___ $500

___ $1,000

___ Other $_________

Please charge my gift to my: __ Visa __ MasterCard __Discover Card

Account number:

Expiration date:

Signature:

My gift is in honor of:

My gift is in memory of:

___ Please send me information on planned giving.


___ Yes, please list me as a Supporter in your publications.

___ No, please do not list my name.


Contributions to The Mautner Project are tax-deductible.

Make check payable to The Mautner Project and mail to:

The Mautner Project
1707 L Street, NW, Suite 1060
Washington, DC 20036

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