Participant: ___________________________
Address: _____________________________
City: ________________________________

Phone: ______________________________
Email:______________________________
Join the 7th Annual GIST Cancer (gastrointestinal stromal tumor) Walk for a Cure
Sunday, October 14, 2007 @ 10:30 am   Registration 9:30 - 10:15
Rockland Lake State Park, Congers NY - Lot 1 North Side
Please make checks payable to GIST CANCER RESEARCH FUND.
All contributions are tax-deductible and will be used for GIST research.
Tax ID # 13-4182988-501(c) (3) status. The consultant and medical advisor for the Fund is
Dr. Ephraim Casper from Memorial Sloan Kettering Cancer Center.

 

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Please bring this form and all contributions with you on the day of the Walk.
If unable to attend, please forward contributions to GIST CANCER RESEARCH FUND,
55 Saw Mill Road, New City, NY 10956.

GIST is a cancer that has no cure and afflicts thousands of people annually. With your help, research has helped to prolong and improve the quality of life for those coping with this cancer. We can't do it without you! Thank you for your support!
Tania Stutman, Chairwoman (845) 634-1174 Tania@gistinfo.com

www.gistinfo.com