To make a tax-deductible contribution in support of the work of Twinless Twins Support Group International 
please provide the following information.
 
When the form is completed please return it via email or by mail to the address below along with your check, money order or Visa/MasterCard information to: 
Twinless Twins Support Group International 

P.O. Box 980481
 Ypsilanti, MI 48198-0481

Or fax to: 1-888-205-8962. Email: contact@twinlesstwins.org

All information will be used solely for making your contribution and will be safely shredded after it is used

. Your donations are gratefully received and will be used to provide programs and services to twinless twins everywhere.
Thank you for your contribution! 




CONTACT INFORMATION:

First Name __________________________Middle Name____________________
Last Name__________________________________
Address ____________________________________________________________
City _______________________________________
State _________ Zip Code  _________________Country_____________________
Home Phone ____________________________Cell_________________________
Office Phone _______________________________
Email Address:  ______________________________________________________
PAYMENT OPTIONS: Contribution amount:_____________
ڤ In full at this time            ڤ Check enclosed
ڤ During the month of _________________________
ڤ By making pledge payments of $_______ for _____ consecutive months/years
Name on Credit Card ______________________________________________
Type of Credit Card__________________ Visa MasterCard Discover
Credit Card Number__________________________________________________
Credit Card Expiration Date ___________________ (mm/dd/year)

This donation is being made in memory of:    (use additional paper if needed)
__________________________________________________________________

__________________________________________________________________

Thank you. Your contribution helps TTSGI to continue its work of  "healing by helping"