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Mail-In Donation Form
Print this page, fill in all applicable fields and mail to:

The LYMF Foundation
5400 Ready Avenue
Baltimore,Maryland 21212
LYMF Foundation Logo


Name __________________________________________________
Address __________________________________________________
City __________________________________________________
State __________________________________________________
Postal Code __________________________________________________
Phone Number __________________________________________________
EMail Address __________________________________________________


Please accept my donation in the amount of $ _________________________
In honor of _______________________________________________
In memory of _______________________________________________
Notify someone of this gift:
Name __________________________________________________
Address __________________________________________________
City __________________________________________________
State __________________________________________________
Country __________________________________________________
Postal Code __________________________________________________
EMail __________________________________________________


By Check Make checks payable to The LYMF Foundation
   

The LYMF Foundation is a 501(c)(3) corporation Tax id: 34-2047213
Thank You!

 

 

 
 
 

The LYMF Foundation | 5400 Ready Avenue, Baltimore, Maryland 21212 | Tel:410-433-2772
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