Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________
Thank you for your contribution to the Medical Campus Outreach SMI 2006 Romania
Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________
Thank you for your contribution to the Medical Campus Outreach SMI 2006 Romania.
Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________
Thank you for your contribution to the Medical Campus Outreach SMI 2006 Romania.
Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________
Thank you for your contribution to the Medical Campus Outreach SMI 2006 Romania.
Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________
Thank you for your contribution to the Medical Campus Outreach SMI 2006 Romania.
Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________
Thank you for your contribution to the Medical Campus Outreach SMI 2006 Romania.
Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________
Thank you for your contribution to the Medical Campus Outreach SMI 2006 Romania.
Please make check payable to ECBC and write MCO in the "for" line. Please fill in the following information and send this slip with your check. Contributions are tax deductible, and per IRS regulation, a tax receipt is sent for contributions over $250.
Participant’s Name: ___________________________
Contributor’s Name:_________________________
Contributor’s Address:______________________________________