Donating to GIST Support International by Check
Please fill out and print this page to mail with your check, or write the information on a note to enclose with your check.
We need your name and address to mail you a receipt acknowledging your tax-deductible donation.
Your name: ___________________________________________
(street or box) _________________________________________
(state or province, postal or zip code) _____________
Which fund do you wish to contribute to?
_____ General fund
_____ Bob Spiegel and Brad Clark Second Opinion Fund
_____ Healing Through Music
If your gift is a memorial donation, please provide the name and address of the family of the deceased so that we can tell them about your gift.
Memorial gift for __________________________________________
Family mailing address:
Please mail your check to our treasurer:
GIST Support International
8409 East Cypress Point Court
Baton Rouge, LA 70809