Honor a Loved One

Do you want to celebrate a birthday or remember a loved one in a special way?

An acknowledgement will be sent to the person being honored or their family. Simply provide the contact name and address. Please remember to include that information if you are making the donation by mail or phone.

Thank You!

One final step: Make your gift monthly?

Monthly gifts allow us to have the sustained support we need to advocate for cancer patients and their families in the halls of Congress, in state legislatures, and train and support volunteers who are making a difference every day.

A monthly gift is an easy way to help in the fight against cancer! Will you consider making your support go even further by starting a monthly gift instead?

Yes! Process my monthly gift of $%amount_monthly%. No thanks, process my one-time gift of $%amount%.

Your Donation

Field Is Required Select Gift Amount:

$25

$50

$100

$250

$500

Enter an Amount

Enter amount

Gift type:

One-time gift

Sustaining gift

Select a Gift Duration:

Total Gift: 0.00

Yes, this is an honor or memorial gift

Honoree Title:

Honoree First Name:

Honoree Last Name:

Yes, Send an eCard Yes, I would like to send an eCard.

Sample Card:

Recipient email addresses:

eCard Subject:

eCard Message:

Complete the fields below only if you would like to send a paper card

Notification Recipient Name:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient State/Province:

Notification Recipient ZIP/Postal Code:

Message Signature:

Billing Information

First Name:

Last Name:

Street 1:

City:

State/Province:

ZIP/Postal Code:

Email Address:

Payment Information

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

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