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If you would like to:
bullethonor a cancer survivor
bulletmake a memorial donation or
bullethelp those fighting cancer

Please designate your gift to one or more of Victory in the Valley, Inc. ministries below. 

You may also make a donation (suggested donation of $25) to order a brick engraved with the name of your loved one which will be placed in our Survivor, Caregiver or Memorial Garden. 

Print this form and return to: 

Victory in the Valley, Inc.
3755 E. Douglas, Wichita, KS 67218

Please make all checks payable to "Victory in the Valley, Inc."

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This donation is in Honor / Memory of: ____________________________________
(If applicable, please check one)
$____ Lodging Assistance

$____ Emergency Medical Fund

$____ Kids & Family Support Program

$____ Camp Victory Adult/Kids Retreats

$____ Canine Friends Pet Therapy

$____ VV Hospitality Centre

$____ Cancer Education Programs

 $____ Support Groups

$____ Patient Transportation to Treatments

$____ Wig Shop (wigs/turbans/hats)

$____ Victory Bear Outreach

$____ Other _________________________

$____ Where Most Needed_____

DONOR INFORMATION:                                       NOTIFY the following of the donation:
_____________________________________
Donor Name

_____________________________________
Address

_____________________________________
City/State/ZIP

 _____________________________________
Contact Name

_____________________________________
Address

_____________________________________
City/State/ZIP