DONATE TO CIACT
Your tax deductiable donation goes to support the Center for Intimacy After Cancer Therapy (a 501(c)(3) nonprofit organization) in its work to help couples renew their relationships and improve their quality of life after cancer treatment.
learn more about CIACT...
Our fundraising email letter
3 ways to donate:
Fill out the form below and donate via PayPal
Fill out the form below and donate by mailing a check
OR - click here to print out a mail in form (A large file that may take a minute to open).
Contribution amount:
$20
| $35
| $50
| $100
| $500
| OTHER
$
Name (F/L)
Address
Line 2
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Donate by
check or money order (mailing address will also appear after you hit the Submit Button below)
-- OR --
PayPal
If you want to ship the book(s) to a different address, indicate in the notes field below.
After your press the submit button, TO COMPLETE YOUR DONATION BY CHECK, SEND YOUR CHECK TO: CIACT, P.O. Box 341388, Bethesda, MD 20827-1388 Phone: 301-983-9702 - Make check payable to :CIACT (This information is also on your confirmation page and confirming email)
How did you hear about the book or the website:
Notes
(note: no fields above should contain URLs)
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