Adelphi NY Statewide Breast Cancer Hotline and Support Program

If you would like to help or simply make a donation to our program your contributions are essential. Charge your donation or print out the form below and mail it along with your own mailing address, email address and a phone number to:
Adelphi Breast Cancer Program
Adelphi University School of Social Work
1 South Avenue, PO Box 701
Garden City, NY 11530-0701

Yes, I would like to become involved with the Adelphi Breast Cancer Program. I would like to:

Volunteer for the hotline/outreach/advocacy
Join a support group
Discuss services for my company
Be added to your mailing list.
Read our newsletter
Support the program by check. Enclosed please find my gift of:

___$25 ___$50 ___$100 ___$500

Other: ____________

My gift is in honor of: ________________________________________

My gift is in memory of: ______________________________________

Support our program by purchasing a Creative Cups™ Coffee Table Book at the special sale price of $25 each or 2 for $40.
Credit card • Check

I'd like to purchase: ____Teen Video(s) at $38 each.
Total $ ___________

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Adelphi NY Statewide Breast Cancer
Hotline & Support Program

All services are free and confidential.