Please complete the following information regarding your gift and return by mail or fax, or use PayPal & Donate Now.

Gift Information                                           

Enclosed is my gift for:   
$5,000     $2,500      $1000     $500     $100     $50     $25     OTHER _______

My gift is restricted for:
Marrow Programs
       __ Identifying Marrow Donor Testing Costs, not covered by insurance
       __ Kids Beating Cancer Pediatric Transplant Center at Florida Children's Hospital
Children's Programs
       __ Teddy Bears
       __ Bicycles
       __ Blankets
       __ Holiday Parties
       __ New Patient Parent Handbook

__ Not restricted

Please Charge My Credit Card:     Visa     MasterCard    Discovery    American Express

Credit Card #_________________________________
Expiration Date _______________

Name on Card ________________________________
Security Code ________________

Signature _______________________________________________

If paying via check, please make check payable to Kids Beating Cancer and mail to:

Kids Beating Cancer
615 E Princeton St
Suite 400
Orlando, FL 32803

Contributions are tax deductible as provided by law.
For more information please call 1-866-800-HOPE in Central Florida call (407) 894-2888.

Billing or Contact Address  

Name _________________________________
Title _________________________________
Company _________________________________

Address_________________________________
Add2_________________________________
City________________________________                                                        
Zip_________________________________ 
State ________________
Phone ____________________
Email* _________________________________  

(*Upcoming events, volunteering, and needs)

Tribute & Memorial Gifts
Give the Gift of Hope: A Gift in honor, in memory or to commemorate someone you love and respect,

My Gift is In Memory of:  

My Gift is In Honor of:  

My Gift is to Commemorate:  

(Please indicate if this is a birthday, anniversary, graduation, or other special occasion gift.)

Please send an acknowledgement to :

Name _____________________________________________
 

Address ___________________________________________

City _________________________________   State _____________ Zip _________________