Donate to VIPS

Make a Donation

Yes, I want to help VIPS restore and heal the less fortunate through my gift of: $1000 $500 $250 $100 $_____

General Information

Name

_____________________________________________

Address

_____________________________________________

City/State/Zip

_____________________________________________

Phone

_____________________________________________

Please make your check payable to VIPS.

Your gift is tax deductible in computing federal income tax.

Billing Information

Please charge my contribution to: MasterCard VISA AMEX

Card Number

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Exp. Date

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Signature

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Please send me information regarding tax-wise planned gift opportunities I have already included VIPS in my estate plans

This donation is

In memory of:
_____________________________________________ In honor of:
______________________________________________ To commemorate:
______________________________________________

(Indicate if special occasion; e.g. birthday, anniversary, graduation, etc.

Please notify

Name

_____________________________________________

Address

_____________________________________________

City/State/Zip

_____________________________________________

Thank you for your generous gift.

Please print this out and send to:

Volunteers in Plastic Surgery (VIPS) Program

444 East Algonquin Road

Arlington Heights, IL 60005