Sam Ayers: Lombardi Cancer Center Donations

To make a gift to the Lombardi Cancer Center at Georgetown University, print this page, complete the form and mail it with your check as indicated. To donate by credit card, use the online form.

Yes! I want to support Lombardi's patient care, research and education programs. Enclosed is my gift. Please designate this gift for Cancer Research.

Gift Amount: $

This gift is given in memory of: SAM BIELICH

Please notify:: SAM AYERS; 10061 RIVERSIDE DR. #247; TOLUCA LAKE, CA 91602

My Name:

Address 1:

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E-mail Address:

Please mail your gift payable to:: Lombardi Cancer Center; New Research Building, Room E501; 3970 Reservoir Road NW; Washington, DC 20007; USA; Phone: 202-687-2956; Fax: 202-687-6402

Note: Donation is tax deductible in the U.S.; check your local tax regulations elsewhere. Donations in U.S. Dollars only.