Donate by Check


Please print the following form, complete and mail to the address at the bottom. Save One Life will send you a thank you note for your generous donation along with your receipt for tax purposes. Thank you for your support!
I want to donate the specified amount below to Save One Life.

Name :
__________________________________________________________
Organization :
__________________________________________________________
Address :
__________________________________________________________
City :
__________________________________________________________
State, ZIP :
__________________________________________________________
E-mail :
__________________________________________________________
Phone :
__________________________________________________________
Enclosed is my :
Check
Money Order for

        $20.00
        $50.00
        $100.00
or
        $_________________
I want to stay up to date with Save One Life. Check all that apply.

I'd like to receive updates on Save One Life.
I'm interested in sponsoring a person with hemophilia in a developing country.
I have following suggestions for Save One Life:
1. ____________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
4. ____________________________________________________________________

Mailing Address

Save One Life, Inc.
65 Central Street
Suite 204
Georgetown, MA 01833
U.S.A