You can help the Angiogenesis Foundation accomplish our mission and reach our goals by supporting our 501(c)(3) nonprofit organization with tax-deductible contributions.

Please print this form by clicking on the "print" button of your browser at the top of the screen. Fill out the pledge form, enclose a check for the donation amount, and mail to:

The Angiogenesis Foundation
P.O. Box 382111
Cambridge, MA 02238 USA.

You may also complete the pledge form and fax it to us at: (617) 576-5808. When we receive your pledge you will be notified by e-mail and billed at your mailing address.

On behalf of the Angiogenesis Foundation, we thank you for supporting our work!

Instructions:

1. Please provide the following information:

First Name: ___________________________________

Last Name: ___________________________________

Address: ___________________________________

City: ___________________________________

State: ___________________________________

Zip Code: ___________________________________

Employer: ___________________________________

Daytime Phone: ___________________________________

E-Mail Address: ___________________________________

2. Please select the amount of your pledge: 25, 50, 75, 100, 250, 500, 1000, 2500, 5000, or specify another amount:

$ __________________

3. For donations of $1000 or more, gifts can be made in honor of an individual, friend, or family member:

Gift in honor of _______________________

4. We request unrestricted support, but if you would like to specify a program, please indicate below:

• Research

• Patient Programs

• Education

• Endowment

5. Please choose your method for giving:

(If mailing this form, please enclose a personal check)

Please charge my gift to the credit card listed below:

CC Type: Visa MasterCard American Express Novus (Discover)

Cardholder's Name: _______________________

Card Number: _______________________

Card Expiration Date: _______________________

(Your credit card information is kept strictly confidential)

6. Please provide us permission to publicly acknowledge your gift:

Yes, please acknowledge my gift _____
No, I prefer to remain anonymous _____

More Information

Statement of Ethics
The Angiogenesis Foundation is a 501(c)(3) nonprofit organization that operates under the highest ethical standards and business practices meeting or exceeding the guidelines of the U.S. IRS. We protect confidentiality of all financial information and do not sell our donor list.

Important Tax Information
Gifts to the Angiogenesis Foundation are tax deductible within the limits of current Federal and State laws. Tax laws require a receipt for individual payments of $250 or more to a charity. When you contribute $250 or more, the Angiogenesis Foundation will send you a receipt before December 31 of the tax year of the donation. To obtain a receipt for pledging on-line, complete this form. We will send you a receipt to file with your canceled check or credit card statement for your tax records.

Donor Inquiry
Please call us (617-576-5708) or email us (contributions@angio.org) with any questions about becoming a donor to the Angiogenesis Foundation.