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"Together, We Can Move Mountains"


Please provide the information requested below to make an online donation to HERA. The HERA Foundation and its Climb for Life, divides money for research among the Departments of Pathology, Oncology, and OB/Gyn at Johns Hopkins University. It also contributes money to a program to assist women with travel and lodging expenses incurred during treatment.

Upon completing the 3 sections on this page, please hit the "Submit Donation Form" button at the bottom of this page. A web page will appear asking you whether you will be paying by check or credit card (available online only).

A written letter of confirmation will be sent to the street address that you provide. If you would like a receipt, please type in this request in section 3 of this form.

* indicates required information


If you have questions about donations please call 970-948-7360 or email us ovcaclimbforlife@hotmail.com.

Make a Donation and HELP US Find a Cure!

Celebrate Someone's Life. Have a Climber Carry Their Name.

There is an opportunity to celebrate the life of someone dealing with this disease or who has passed away from ovarian cancer. With a donation of $50 or more your name or your loved one's name can be carried by a climber.



Make a Difference Now with a tax-deductible gift to the HERA Women's Cancer Foundation benefitting the Johns Hopkins Ovarian Cancer Initiative.
  1. Fill out the short form below
  2. Click "Submit Donation Form"
    • Print out next page and mail it with a check
1) Donor Information
Prefix:
First Name:*
Last Name:*
Company Name:
(if applicable)
Address Line 1:*
Address Line 2:
City:*
State/Province:*
Other:
Country:*
Other:
Postal Code: *
Phone (USA):
Format xxx-xxx-xxxx
OR Phone (Intnt'l):
Work Phone:
Email:
Donation Information
Donation Amount:* $
Memorial: a donation made in memory of someone.

Honorarium: a donation made in recognition of a living person.
In Memory/Honor of:(if applicable)
Acknowledgement Information
We send acknowledgement letters to all donors. For donations made in memory or honor of someone, we like to send an additional acknowledgement letter to the family. Please provide the following information, if applicable:
This information will be used solely to send a written acknowledgement of your donation or to provide requested documentation.
  1. The name and mailing address of the person(s) who should receive an acknowledgement of your donation.
  2. The addressee's relation to the person you are recognizing/honoring with your donation.

  3. Any requests for receipts, more information regarding contributions, etc.
Finalize your donation
Personal information that you provide on this form will be used only to 1) send an acknowledgement of your donation, 2) send a receipt, 3) contact you regarding any errors on your donation form, 4) contact you regarding potential giving opportunities to support HERA.

If you prefer not to be contacted about potential giving opportunities please check this box:





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is a beneficiary of the HERASM Climb for Life
Last Modified: 09/13/2005