ThePapCorps

Papanicolaou Corps for Cancer Research Logo

In Honor Of / In Memory Of

Donations

Honor the memory of someone, or give thanks to someone who has been special in your life, while you help raise funds for cancer research.

(There is a minimum donation of $25.00 for a tribute card to be sent to recipient)

Thank you

Tribute Type

Tributee/Honoree Name

Recipient Name

Recipient Address (where card will be mailed to)

255 character limit

0 / 255

Closing

Signer

Member ID (Numeric entries only - Please leave blank if you don't know your ID)

First Name

Last Name

Mobile Number

Address

City

State

Zip

Country

Who can we thank for referring you to The Pap Corps? (Soft Credit)

This is a secure 256-bit SSL encrypted payment

Card Number

CVV

Yes, I would like to make a bigger impact towards cancer research with my donation by covering the 3.5% processing fee.

Donor hereby approves the payment of the donation and/or purchase to Papanicolaou Corps for Cancer Research and in the amount set forth herein.