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Donation Form

Your generous donation to the C.A.R.E. Foundation will help support our mission To formulate, promote and lead initiatives to prevent sudden cardiac death due to acquired and heritable heart rhythm disorders by:

  • Advocating increased support for comprehensive scientific research and clinical trials.
  • Educating patients, the public and healthcare professionals to increase awareness.
  • Advancing strategies to identify, protect and support at-risk individuals and their families.

 *Required field

* First Name:                Middle:   

* Last Name:     

* Address:         

* City:                

* State:             

* Zip Code:        

* Country:         

* Telephone:     

   Fax:                

* Email:             

Are you donating in someone's honor or memory? Please let us know who this donation is for:

The C.A.R.E. Foundation mails all donors a receipt for their tax-deductible donation.

Donation Amount:        $15 $25 $50 $100  Other $ Set of 5 Blank Cards $100 (Suggested)

Payment by Mail:          Check    Money Order

Download Printable Form and send with the donation to:
C.A.R.E. Foundation, Inc.
427 Fulton Street
PO Box 69
Seymour, WI, 54165

Online Payment:             Master Card   Visa

Please fill out the information as it reads on your credit card:

* First Name:                    

* Last Name:                     

* Credit Card Number:        

* Expiration Date:                      

The C.A.R.E. Foundation is a 501(c)(3) nonprofit organization. Under IRS guidelines your contribution is fully deductible.

If you have a question regarding your donation please call the C.A.R.E. Foundation at (800)404-9500.

 

 
 
There are many ways to show you C.A.R.E.  Click here to learn how you can make a donation, send flowers, shop or search the Web and help C.A.R.E.
 
 
 
 
C.A.R.E. Foundation, Inc.
427 Fulton Street
PO Box 69
Seymour, WI, 54165
P (800) 404-9500
P (920) 833-7000
F (920) 833-7005
 
Call Us Today: (800) 404-9500  care@CAREforhearts.org