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Installment Giving Enrollment Form

You can make your gift to the Scleroderma Foundation through easy, monthly installments. This program provides a simple and convenient way to make regular monthly contributions to the Foundation that are posted to your credit card, or directly to your bank account.

The Scleroderma Foundation is grateful for all gifts we receive, and we want to make it as simple as possible for you to support us. By supporting the Foundation through this program, there will be no need for us to fill your mailbox with direct mail requesting that you donate! You will also be saving the Foundation money, which can be put to good use towards our mission of Support, Education, and Research.

All installment program payments will be processed on the 15th of the month or the following business day.

Donors of $25 or more annually can be acknowledged as members. Please check the box on the enrollment form if you do not want to receive member benefits.

Once we receive your signed authorization in the mail, we will send you a confirmation letter. At the conclusion of the calendar year, we will send you a receipt for your total giving for that year.

Thank you for participating in our new Installment Giving Program. Go to our Installment Giving Program Enrollment Form.

Giving supports of mission of Support, Education & Research.For more information, please contact:

Tracey Sperry, Development & Research Manager
Scleroderma Foundation
300 Rosewood Drive, Suite 105
(800) 722-HOPE (4673), ext. 44
(978) 463-5843, ext. 44
(978) 463-5809 – fax
tsperry@scleroderma.org

300 Rosewood Drive, Suite 105, Danvers, MA 01923 · Phone 978-463-5843 · 800-722-HOPE (4673)
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Last Updated 5/13/08

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