To donate online with your credit card follow the instructions
below.
To donate with a check or money order please print-out, complete, and return this donation form, with your check or money order made payable to "
Human Growth Foundation" preferably by registered mail, to:
Human Growth Foundation
Attn: Patricia D. Costa, Executive Director
997 Glen Cove Avenue,
Glen Head, New York 11545.
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| Personal Information |
| Name:_____________________________________________________________________ |
| Street Address:_____________________________________________________________ |
| City:_______________________________________________________________________ |
| State and Zip Code:__________________________________________________________ |
| Email: _____________________________________________________________________ |
| Telephone No.( ) ___________________ Facsimile No.( ) ________________________ |
| Donation _________________________________________________________________ |
| (Please check one) [ ] Check[ ] Money Order |
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| Designation of Use of Donation |
| (Please check one block below) |
| [ ] Unrestricted Use |
| [ ] General Operations |
| [ ] Chondroplasia Fund |
| [ ] John Hickey Fund |
| [ ] Other (please specify)_____________________________________________________ |
| Comments (Optional)_______________________________________________________ |
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The Human Growth Foundation (HGF) is a national, tax-exempt, charitable nonprofit association.
Donations to the HGF are tax-free. Your tax-deductible donation will help sustain the many programs supported by the Foundation.
To donate now via secure online transaction, Simply click the "Donate" button below.
A PayPal account is not required. All major credit cards are accepted.
