MY PLEDGE TO YOU
TNT DONOR FORM
I have joined a very special Team In Training (TNT) program of
more than 35,000 volunteers nationwide. We will run, walk,
cycle or swim in established marathons, half marathons, century
rides or triathlons for a reason much more important than the
personal challenge. As members of TNT, we participate in these
events on behalf of local patients and will raise funds to battle
leukemia, Hodgkin and non-Hodgkin lymphoma and myeloma.
Over 110,960 people in the United States will be diagnosed with
a blood cancer this year – an estimated 55,100 people will die.
Although the cause of these cancers remains unknown, steady
advances in research and treatment are bringing us closer to
cures. In fact, thanks to research funded in part by The
Leukemia & Lymphoma Society, the survival rate for the most
Yes! I will help fight leukemia, Hodgkin and non-Hodgkin
lymphoma, and myeloma in recognition of the efforts of: common form of childhood leukemia has improved from 4% in
1960 to 85% in 2000.
ABOUT THE LEUKEMIA & LYMPHOMA SOCIETY
Team In Training Member The Leukemia & Lymphoma Society is the world’s largest
voluntary health organization dedicated to funding blood cancer
New York City Triathlon research, education and patient services. We offer a wide
________________________________________________________ variety of programs and services in support of our mission to
Team/Event cure leukemia, lymphoma, Hodgkin's disease and myeloma, and
to improve the quality of life of patients and their families. The
I select to donate (please circle): Society is a nonprofit organization that relies on the generosity of
$50 $200 individual and corporate contributions to advance its mission.
$150 $500 WHY WE NEED YOUR HELP
OR Until there is cure, we need the support of people like you!
I would like to make a total donation of: $ ____________ Funding for research is imperative in helping the Society find
cures for leukemia, Hodgkin and non-Hodgkin lymphoma and
Check Enclosed Make check payable to The Leukemia & Lymphoma myeloma. Over the years, leukemia research has proven to be
Society the window of hope for potential cures for other forms of cancer.
Bone marrow transplants as well as chemotherapy – the
Credit Card Donation Please circle one: (AMEX, MC, VISA) backbone for treatment of most forms of cancer – stem from
PLEASE FORWARD YOUR CONTRIBUTION TO THE
Credit card #: ___________________________________________________ PARTICIPANT THAT YOU ARE SUPPORTING
Expiration Date: _________________________________________________
*** FOR MORE INFORMATION CONTACT ***
Card holder: ____________________________________________________
The Leukemia & Lymphoma Society
Name (if different): _______________________________________________ New York City Chapter
Signature: ______________________________________________________ Phone (212) 448-9206 ext. 234
In accordance with the Internal Revenue Code, the amount you
City: ___________________ State: _______________ Zip: __________ donate is 100% tax deductible.
My company will match this contribution (matching gift
form is attached).
Please send me information on the Team In Training