Contribution Form
Make Checks Payable to: The Leukemia Society of America
Please print this form and mail it with your donation to the following address:
TEAM IN TRAINING
TINA MCKNIGHT
1101 Venus Street
Cedar Hill, Texas 75104
Thank You
Name____________________________________

Address_________________________________

Home Phone______________________________

E-mail address__________________________

AMOUNT CONTRIBUTED $____________________

Signature_______________________________
THANK YOU
I want to thank you sincerely for taking the time to visit my home page.Feel free to send messages of encouragement, as this is a challenging journey. I would love to hear from you and I hope you find it in your heart to contribute what you can for RICHARD (my honored patient) and for all those affected by LEUKEMIA and related cancers.
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Email me on:
[email protected]

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