YES, I would like to support The Canadian Melanoma Foundation
PRINT OUT THIS FORM:
Please make your donation cheque payable to The Canadian Melanoma Foundation
and mail to:
The Canadian Melanoma Foundation
835 West 10th Avenue
Vancouver, BC V5Z 4E8
Name ________________________________________________________________
Address _____________________________________________________________
Province / State ____________________________________________________
Postal Code / Zip Code ______________________________________________
Telephone ___________________________________________________________
Registered Charity #0909762-13. A receipt for income tax purposes will be provided.