A powerful mission – to solve the problems of cancer – drives the work of the OHSU Cancer Institute, which is a designated Clinical Cancer Center of the National Cancer Institute. Here, research scientists and physicians translate research discoveries
into better ways to prevent, diagnose and treat cancer. Our goal is to heal patients and to save lives.

Donor Information:
Name ____________________________________________________________________________
Address ___________________________________________________________________________
Phone _____________________________________
Email _____________________________

I am enclosing a contribution of: $______________
[ ] My check, payable to OHSU Cancer Institute, is enclosed
[ ] I prefer to pledge this amount. Enclosed is my first payment of $ ________
[ ] I prefer to charge my gift to my
[ ]Visa
[ ]MasterCard
[ ]American Express
[ ]Discover
_________________________________________
Card number 
_______________
Exp. Date  
___________________________________________________ 
Signature

Please apply my gift as follows: Gifts will be designated to the OHSU Cancer Institute ovarian cancer research and treatment fund, appeal code OCIE7DMAR, unless otherwise specified.

Tribute gifts: To make a gift [ ] in honor or [ ] in memory, please fill in the following information:

Name of Person _________________________________________________________________________
Please send an acknowledgment card to  _______________________________________________________ ______________________________________________________________________________________

Donor recognition/other:
[ ] For recognition purposes, please list my/our gift as _______________________________
[ ] I/we wish to remain anonymous.
[ ] I/we would like to learn about making a gift through a charitable estate plan.

Signature: ________________________________________________ Date: __________________

Please complete and send to: OHSU Cancer Institute
3181 S.W. Sam Jackson Park Rd.
CR145
Portland, Oregon 97239-3011
(503) 494-7071
www.ohsucancer.com

Thank you for your gift of hope.