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Thank you for generously supporting Indiana University Health Foundation and the PATH4YOU program at Indiana University Health.

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Donor hereby approves the payment of the donation and/or purchase to Indiana University Health Foundation and in the amount set forth herein.

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100% of your donation is tax deductible and goes directly to the fund you have chosen to support. This gift will be administered by the Indiana University Health Foundation, an entity of Indiana University Health. This is not a gift to Indiana University or the IU School of Medicine. The Indiana University Foundation does not play a role in administering this account.