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Please print out this page and mail with your check to the address below.
Every little bit helps! We sincerely thank you!!
(Remember to use the Breast Cancer Research Stamp!)
I support WIN Against Breast Cancer.
Please accept my donation:

[] $25     [] $50     [] $100     [] $250     Other $_____________________

This gift is given:
          In Memory of:_______________________________________________
          In Honor of:_________________________________________________
[] Get Well wishes    [] Birthday     [] Special Occasion____________

Special Note To:___________________From:________________
Message:____________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Please send acknowledgment to:
Name:_____________________________________________________________
Address:___________________________________________________________
City:__________________________________State:__________Zip:_________

Please make checks payable to WIN Against Breast Cancer.
Donations to WIN ABC are tax deductible.


Name of contributor:______________________________________________
Address:___________________________________________________________
City:__________________________________State:__________Zip:_________
Telephone: (______)_____________________

[] Please send me more information about WIN ABC.
[] I am interested in volunteer opportunities, please give me a call.

WIN Against Breast Cancer
536 S. Second Ave., Suite K
Covina, CA 91723-3043

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