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Tribute/Memorial Contributions
You may make a contribution to Central New York Komen in memory of or in honor of someone special in your life. This donation can be made online (see form below) or by mail (to Komen Breast Cancer Foundation CNY Affiliate, 5008 Brittonfield Pkwy., Suite 300, E. Syracuse, NY 13057). A card will be sent to the individual or family at your request acknowledging that a gift has been made by you in their name and a receipt will be sent to you. There are no limitations on the amount you can give.

Please fill in the following information to make an online donation:

A donation has been
made to the CNY Komen
Foundation in honor
of your birthday

I would like to make a donation to the Komen Breast Cancer Foundation CNY Affiliate
In honor of:
Name
Occasion (if applicable)
Address
City/State/Zip

In memory of
Name
Address
City/State/Zip

Please acknowledge the donation as from:
Name
Address
City/State/Zip

Amount of Donation	$

Upon submitting your information, you will receive a confirmation page. Please make sure everything is correct and click on "Return to the form" to continue with online payment.
Once you have returned to this page
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. . .or you can * and mail it to our offices at CNY Affiliate/Komen Foundation, 5008 Brittonfield Pkwy., Suite 300, East Syracuse, NY 13057. *It is necessary to have Acrobat Reader on your computer to download this form. If you don't have it, download it for free here: