Participant: ___________________________
Address: _____________________________
City: ________________________________

Phone: ______________________________
Email:______________________________

Join the 1st Annual GIST Cancer (gastrointestinal stromal tumor) Walk for a Cure
Saturday, September 27, 2008 @ 11:00am   Registration @ 10:00am
LaPine State Park, LaPine Oregon
Between Sunriver and LaPine on West Side of US 97 (mp 160-161)
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.

 

SPONSOR

ADDRESS

DONATION

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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 GCRF c/o Peyt Turner,
285 West Winds Road, White Salmon, WA 98672.

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