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Join us in supporting Medlend in its efforts to improve the quality of life for those who need extra help. Your donations are tax deductible. Please use the online form below, or if you prefer to send your donation by mail, click here to download the Mail-In Donation Card. You must have Acrobat PDF reader to view and print the form. Get the free PDF reader here.
     
  Name
  Title
  Company
  Address
  City
  State Zip
  Phone Cell
  E-mail
   
  I am making a tax-deductible contribution of: (Medlend is a 501(c)(3) organization)
  $35$75$100
  $250$500Other
   
  Please bill my:
  VisaMCAmex
  Account # Exp. Date
  Name (as it appears on card)
  Comments:  
 
   
  Please add my name to the Medlend mailing list.
  Please send me information about volunteering with Medlend.
  I am a:
     

      

 
 

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