Major Gift Donation

I would like to donate anonymously:

Yes

This donation is in tribute to:

This donation is in memory of:

Please show contributor(s) as:

You may use my/our name(s) in connection with Friends of ICAN materials:

YesNo

I am willing to host a party for ICAN (20 to 50 attendees):

YesNo

I would like to arrange a lunch or dinner with a prospective ICAN donor:

YesNo

I/We want to become more involved with ICAN. Please call me/us to discuss volunteer and advisory board opportunities:

YesNo

If you've met with a member of our ICAN Campaign Cabinet, please let us know so that they may join us in thanking you for your generous gift:

How did you hear about us:

Area of Interest: (specific cancer type):

This donation is a gift from: