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Ask a Question About Tobacco Control Archives
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SEE ALSO
Tobacco Control Subject Guide
 
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GALEN Home > Collections & Resources > Tobacco Control Archives > How You Can Help > Donor Response Form
Donor Response
Please print, complete, and send with your contribution to:
UCSF Foundation, Box 0248, San Francisco, CA 94143-0248
 
 
Yes, I'd like to become a partner with UCSF Library in the effort to document the health effects of tobacco and to make information on tobacco and the tobacco industry available to everyone. I am pleased to contribute to the UCSF Library Tobacco Control Archives with a donation of:
 
[ ] $25      [ ] $50      [ ] $100      [ ] $250      [ ] $500      [ ] $_____
 
[ ] Enclosed is a matching gift form from my employer.
 
Please send my receipt to:
 
Name
Address
City / State / Zip
Telephone
E-mail (optional)
 
Please make checks payable to the UCSF Foundation/Tobacco Control Archives. Or, for credit card contributions, complete the following:
 
___ Mastercard     ___ Visa     ___ American Express    Amount: $________
 
Card Number
________ - ________ - ________ - ________
Exp:_______
Cardholder Name
(please print)
Signature
Date____/_____

The UCSF Foundation is a California not-for-profit corporation governed by the Board of Directors, established to provide support and administer funds for the benefit of the San Francisco campus of the University of California. It is the policy of the University of California San Francisco and the UCSF Foundation that a modest portion of gifts and/or income therefrom is used to defray the costs of raising and administering funds.
 
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