Childhood Cancer Careline - Giving From the Heart.


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Join our free mailing list.

We'll keep you informed of our services and upcoming events by newsletter and/or email.

Just fill out this form. Send your applicable donations to:

Childhood Cancer Careline
P.O. Box 1138
Bothell, WA 98041

Click Here for a fax form. Complete and fax to: (360) 658-1308

There is no cost for membership although we suggest a minimum donation of $25.00 per year to help with costs.

Name(s):

Address:

City:

State:

Zip:

Phone:

Name, age, birthday, diagnosis, treatment facility
and sibling information (if applicable):

Please send me the Childhood Cancer Careline newsletter

By - Email (saves costs) | Traditional Mail

Please accept my gift of:

$1,000.00 | $500.00 | $250.00 | $100.00 | $50.00

Other -

Please send me a Gold Ribbon.

Amount: X $5.50 (includes shipping) each =

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My check is in the mail to the address above.

For some of the above, sensitive information like credit card, bank account, stock or other information is needed.

Please have someone call me for this information.

Phone (if different than above):

My / spouse's company will match this gift -

Company -
Employees Name -
Company Phone -

I / My company will donate office equipment or services for Childhood Cancer Careline -

Equipment / Services -
Company -
Contact -
Contact Phone -

I am interested in volunteer opportunities for Childhood Cancer Careline.
My areas of interest / expertise are:

Email:

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This gift is in memory of:

Message to us:

Please put our names on one of your specific lists:

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Thank you for supporting Childhood Cancer Careline!
Our IRS Tax ID is 91-2171599

(206) 453-8315 - P.O. Box 1138,
Bothell, Washington 98041

Email: info@childhoodcancercareline.org