1 “balloon” ($20) 3 “balloons”($50) 6 “balloons” ($100) 15 “balloons

Balloon-a-thon 2017 Give Flight! To the Fight against Lung Cancer in Women
I’m excited to make a difference! I’d like:
□ 1 “balloon”
($20) □ 3 “balloons”($50) □ 6 “balloons” ($100)
0
□ 15 “balloons” ($250)
□ Other
□ I’d like to receive the book, Tall Ship Odysseys: Fifty Years of Operation Sail
by David Taylor as a thank-you gift for my $250 contribution.
My/our donation is made in honor/in celebration of:
My/our message of hope:
Give online: bwhevents.org/giveflight
Please make checks payable to Brigham and Women’s
Hospital and specify “Women’s Lung Cancer
Program” on the memo line.
Name
Address
City
State
Collect your balloons and join in the festivities at our
Give Flight! Celebration on Saturday, March 18th, 2017
from 2-4pm at the BWH Building for Transformative
Medicine.
□ I would like my donation to remain anonymous
Thank you for your support!
Balloon-a-thon 2017 Give Flight! To the Fight against Lung Cancer in Women
I’m excited to make a difference! I’d like:
□ 1 “balloon” ($20) □ 3 “balloons”($50) □ 6 “balloons” ($100)
□ 15 “balloons” ($250)
□ Other
□ I’d like to receive the book, Tall Ship Odysseys: Fifty Years of Operation Sail
by David Taylor as a thank-you gift for my $250 contribution.
My/our donation is made in honor/in celebration of:
My/our message of hope:
□ I would like my donation to remain anonymous
Give online: bwhevents.org/giveflight
Please make checks payable to Brigham and
Women’s Hospital and specify “Women’s Lung
Cancer Program” on the memo line.
Name
Address
City
State
□ 1 “balloon” ($20) □ 3 “balloons”($50) □ 6 “balloons” ($100)
□ 15 “balloons” ($250)
□ Other
□ I’d like to receive the book, Tall Ship Odysseys: Fifty Years of Operation Sail
by David Taylor as a thank-you gift for my $250 contribution.
My/our donation is made in honor/in celebration of:
My/our message of hope:
□ I would like my donation to remain anonymous
Zip
Collect your balloons and join in the festivities at our
Give Flight! Celebration on Saturday, March 18th,
2017 from 2-4pm at the BWH Building for
Transformative Medicine.
Thank you for your support!
Balloon-a-thon 2017 Give Flight! To the Fight against Lung Cancer in Women
I’m excited to make a difference! I’d like:
Zip
Give online: bwhevents.org/giveflight
Please make checks payable to Brigham and Women’s
Hospital and specify “Women’s Lung Cancer
Program” on the memo line.
Name
Address
City
State
Zip
Collect your balloons and join in the festivities at our
Give Flight! Celebration on Saturday, March 18th, 2017
from 2-4pm at the BWH Building for Transformative
Medicine.
Thank you for your support!