YMCA CAPE COD Diabetes Education Center

Become a Friend of DECCC YES I ACCEPT the invitation to become a friend of the Diabetes Education Center of Cape Cod, Inc. This gift is unrestricted ___  $5000 and above ___  $4999 - $2500 ___  $2499-$1000 ___  $999-$25 All gifts are tax deductible to the extent allowed by law. My Gift is: ___  A one-time donation ___  An annual pledge for the next ____ years Name_____________________________________________________ Address___________________________________________________ City___________________________State___________Zip__________ Telephone (________)__________-_______________ Email_____________________________________________________ Total Pledged      $__________________ Amount Enclosed $__________________ Balance               $__________________