Donating to the Chemical Sensitivity Foundation

If you wish, you may print out this form to send with your check. Please make your check payable to the Chemical Sensitivity Foundation and mail it to:

Chemical Sensitivity Foundation
P.O. Box 283
Topsham, ME 04086


______   Amount of donation
 
Name:   ____________________________________
Address:   ____________________________________
    ____________________________________
    ____________________________________
Email:   ____________________________________
     
  

Please choose to donate to the General Fund or the Fragrance-Free campaign:
_________________________________________


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Chemical Sensitivity Foundation, P.O. Box 283, Topsham, ME 04086
Telephone: 207-725-8570

info@chemicalsensitivityfoundation.org