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<title>Support the Research</title>
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CONTENT="Support research funded by the Arthritis Nat'l Reseach Foundation.">
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CONTENT="arthritis, research, cure, support, donate, charities, tax-deductable,
funding, grants, education, projects, bequest, contribution, information, treatment">
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<td width="88%"><font color="#400080"><font face="Bookman Old Style" size="5">A</font><font
size="4" face="Bookman Old Style">RTHRITIS </font><font face="Bookman Old Style" size="5">N</font><font
size="4" face="Bookman Old Style">ATIONAL </font><font face="Bookman Old Style" size="5">R</font><font
size="4" face="Bookman Old Style">ESEARCH </font><font face="Bookman Old Style" size="5">F</font><font
size="4" face="Bookman Old Style">OUNDATION<br>
</font></font><font face="Times New Roman" size="3">200 Oceangate, Suite 400, Long Beach,
CA 90802<br>Toll Free: 800-588-CURE (2873).</font></td>
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<td><p align="left"><img src="Images/helpyou.gif" width="600" height="38"> </td>
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<td><p align="left"><strong><font face="Times New Roman" size="5" color="#400080">Income
Tax Rates are High<br>
</font></strong><font face="Times New Roman" size="4" color="#000000">The higher your tax
rate, the more your charitable deduction is worth in tax savings.</font></p>
<p align="left"><font face="Times New Roman" size="5" color="#400080"><strong>If you own
Long-Term Appreciated Stock<br>
</strong></font><font face="Times New Roman" size="4" color="#000000">It usually makes
more sense to make a charitable gift of stock than to write a check. (As a general rule,
consider giving stock with the lowest cost basis.)</font></p>
<p align="left"><font face="Times New Roman" size="5" color="#400080"><strong>Save those
Acknowledgement Letters<br>
</strong></font><font face="Times New Roman" size="4" color="#000000">For all charitable
gifts of $250 or more, the IRS requires you to have one to prove you made a charitable
gift; your cancelled check is no longer sufficient.</font></p>
<p align="left"><font face="Times New Roman" size="5" color="#400080"><strong>Consider a
Lasting and Meaningful Tribute<br>
</strong></font><font face="Times New Roman" size="4" color="#000000">Many of our donors
honor their loved ones with a tribute donation to the Foundation. These gifts may be made
in memory, or in honor of individuals you wish to recognize in a most meaningful and
lasting way.</font></p>
<form method="POST" name="contact" action="maildonate.asp">
<input type="hidden" name="VTI-GROUP" value="0"><input type="hidden" name="RCPT"
value="anrf@ix.netcom.com"><input type="hidden" name="refer" value="thankyou.htm"><input
type="hidden" name="Subject" value="ANRF CONTACT US INFORMATION"><div align="center"><center><table
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<td width="100" align="right"><input type="checkbox" name="Donate" value="Yes"
tabindex="1" checked></td>
<td width="100"><b><div align="center"><center><p><img src="Images/yes.gif" width="60"
height="32"></b></td>
<td width="400" colspan="4" align="center"><font face="Times New Roman" size="3"><b>I'd
like to make a gift to support arthritis research.</b></font></td>
</tr>
<tr align="center">
<td width="100" align="right"><b>Name:</b></td>
<td width="500" colspan="5"><div align="left"><p><b><input type="text" size="35"
maxlength="35" name="name" tabindex="2"></b></td>
</tr>
<tr align="center">
<td width="100" align="right"><b>Address:</b></td>
<td width="500" colspan="5"><div align="left"><p><b><input type="text" size="35"
maxlength="35" name="Address" tabindex="3"></b></td>
</tr>
<tr align="center">
<td width="100" align="right"><b>City:</b></td>
<td width="500" colspan="5"><div align="left"><p><b><input type="text" size="35"
maxlength="35" name="City" tabindex="4"></b></td>
</tr>
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<td width="100" align="right"><b>State:</b></td>
<td width="100"><div align="left"><p><select name="State" size="1" tabindex="4">
<option value="AK">AK</option>
<option value="AS">AS</option>
<option value="AS">AS</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FM">FM</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="GU">GU</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MH">MH</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="MP">MP</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PW">PW</option>
<option value="PA">PA</option>
<option value="PR">PR</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VI">VI</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
</select></td>
<td width="100"><div align="right"><p><b>Zip Code:</b></td>
<td width="60" align="right"><div align="left"><p><b><input type="text" size="12"
maxlength="35" name="Zipcode" tabindex="5"></b></td>
<td width="100" align="right"></td>
<td width="100"></td>
</tr>
<tr align="center">
<td width="100" align="right"><b>Country:</b></td>
<td width="200" colspan="2"><div align="left"><p><b><input type="text" size="12"
maxlength="35" name="Country" tabindex="6" value="USA"></b></td>
<td width="50" align="right"><div align="right"><p><b>Phone:</b></td>
<td width="250" align="left" colspan="2"><div align="left"><input type="text"
size="18" maxlength="35" name="Phone" tabindex="7"></td>
</tr>
</table>
</center></div><div align="center"><center><table border="0" cellspacing="0" width="600">
<tr>
<td width="200" colspan="2"><b><div align="right"><p>I would like to donate:</b></td>
<td width="100"><b><div align="left"><p><input type="text" size="8" maxlength="35"
name="Amount" tabindex="5" value="$"></b></td>
<td width="100"></td>
<td width="100"></td>
<td width="100"></td>
</tr>
<tr>
<td width="100"><b><div align="right"><p>In honor of:</b></td>
<td width="500" colspan="5"><b><div align="left"><p><input type="text" size="35"
maxlength="35" name="Honorof" tabindex="8"></b></td>
</tr>
<tr>
<td width="100"><b><div align="right"><p>As a:</b></td>
<td width="100"><b><div align="right"><p></b><input type="checkbox" name="memorial"
value="memorial" tabindex="9"></td>
<td width="100"><b><div align="left"><p>Memorial</b></td>
<td width="100"><b><div align="right"><p></b><input type="checkbox" name="tribute"
value="tribute" tabindex="9"></td>
<td width="100"><b><div align="left"><p>Tribute</b></td>
<td width="100"></td>
</tr>
<tr>
<td colspan="6" width="600">
<p><b><br>
Credit card payment method (MasterCard or Visa only):</b><b>
</b></p>
</td>
</tr>
<tr>
<td width="600">
<div align="center"><b><img src="Images/sm_mc.gif" width="60" height="38" alt="MasterCard"></b></div>
</td>
<td width="600">
<div align="center"><b><img src="Images/visa1.gif" width="60" height="38" alt="VISA"></b></div>
</td>
<td colspan="4" width="2400">
<div align="left"><font color="#400080" size="2" face="Arial, Helvetica, sans-serif"><b>Note</b>-
This is not a secure server. Pay by phone unless you have
a newer browser (3.0+) with built-in security.</font></div>
</td>
</tr>
<tr>
<td colspan="6" width="600">&nbsp;</td>
</tr>
<tr>
<td width="100" align="right"><input type="checkbox" name="callme"
value="contact by phone" tabindex="10"></td>
<td width="500" colspan="5"><font size="2" face="Courier New"><strong>Please contact me by
phone.</strong></font></td>
</tr>
<tr>
<td width="100" align="right"><input type="checkbox" name="online" value="card info below"
tabindex="10"></td>
<td width="500" colspan="5"><font size="2" face="Courier New"><strong>Online.(Recomended
for newer browsers only.)</strong></font></td>
</tr>
<tr>
<td width="100" align="right"></td>
<td width="100"></td>
<td width="100"></td>
<td width="100"></td>
<td width="100"></td>
<td width="100"></td>
</tr>
<tr>
<td width="100" align="right"><b>Card type:</b></td>
<td width="200" colspan="2"><select name="cardtype" size="1" tabindex="4">
<option value="VISA">VISA</option>
<option value="MasterCard">MasterCard</option>
</select></td>
<td width="100"><div align="right"><p><b>Ex. Date:</b></td>
<td width="100"><b><input type="text" size="8" maxlength="35" name="Exdate" tabindex="13"
value="1/00"></b></td>
<td width="100"></td>
</tr>
<tr>
<td width="100" align="right"><b>Card number:</b></td>
<td width="300" colspan="3"><b><input type="text" size="20" maxlength="35"
name="cardnumber" tabindex="12"></b></td>
<td width="100"></td>
<td width="100"><div align="left"><p></td>
</tr>
<tr>
<td width="600" align="right" colspan="6"><div align="left"><p><b>Please send
an acknowledgment of this tribute donation to:</b></td>
</tr>
<tr>
<td width="100" align="right"><b>Name:</b></td>
<td width="500" align="right" colspan="5"><div align="left"><p><b><input type="text"
size="35" maxlength="35" name="name2" tabindex="14"></b></td>
</tr>
<tr>
<td width="100" align="right"><b>Address:</b></td>
<td width="500" align="right" colspan="5"><div align="left"><p><b><input type="text"
size="35" maxlength="35" name="address2" tabindex="15"></b></td>
</tr>
<tr>
<td width="100" align="right"><b>City:</b></td>
<td width="200" align="right" colspan="2"><div align="left"><p><b><input type="text"
size="24" maxlength="35" name="city2" tabindex="16"></b></td>
<td width="100" align="right"><b>State:</b></td>
<td width="200" align="right" colspan="2"><div align="left"><p><select name="state2"
size="1" tabindex="4">
<option value="AK">AK</option>
<option value="AS">AS</option>
<option value="AS">AS</option>
<option value="AZ">AZ</option>
<option value="AR">AR</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DE">DE</option>
<option value="DC">DC</option>
<option value="FM">FM</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="GU">GU</option>
<option value="HI">HI</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="IA">IA</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="ME">ME</option>
<option value="MH">MH</option>
<option value="MD">MD</option>
<option value="MA">MA</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MS">MS</option>
<option value="MO">MO</option>
<option value="MT">MT</option>
<option value="NE">NE</option>
<option value="NV">NV</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NY">NY</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="MP">MP</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PW">PW</option>
<option value="PA">PA</option>
<option value="PR">PR</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VT">VT</option>
<option value="VI">VI</option>
<option value="VA">VA</option>
<option value="WA">WA</option>
<option value="WV">WV</option>
<option value="WI">WI</option>
<option value="WY">WY</option>
</select></td>
</tr>
<tr>
<td width="100" align="right"><b>Zip Code:</b></td>
<td width="200" align="right" colspan="2"><div align="left"><p><b><input type="text"
size="12" maxlength="35" name="Zipcode2" tabindex="17"></b></td>
<td width="100" align="right"><b>Country:</b></td>
<td width="200" align="right" colspan="2"><div align="left"><p><b><input type="text"
size="12" maxlength="35" name="Country2" tabindex="18" value="USA"></b></td>
</tr>
<tr align="center">
<td width="100" align="right"></td>
<td width="100" align="right"></td>
<td width="100" align="right"></td>
<td width="100" align="right"></td>
<td width="100" align="right"></td>
<td width="100" align="right"></td>
</tr>
</table>
</center></div><div align="center"><center><p><input type="submit" value="Submit"> <input
type="RESET" value="Clear Form"> </p>
</center></div>
</form>
<p align="center"><font face="Times New Roman" size="3"><strong>You can also print out
this form, fill in the desired information and mail or fax to:<br>
ANRF,</strong> <strong>200 Oceangate, Suite 400, Long Beach, CA 90802</strong></font><br>
<font face="Times New Roman"><strong>Fax: (562) 983-1410<br>Toll Free: 800-588-CURE (2873).</strong></font><br>
</td>
</tr>
<tr align="center">
<td width="640"><p align="center">Thank you for your support of our efforts to fund this
important research.<br>
Please<a href="contact.htm"> <em><u>Contact Us</u></em></a> for additional information.</p>
<p align="center"><a href="contact.htm"><img src="IMAGES/contact.jpg" border="0"
width="63" height="63"></a></td>
</tr>
</table>
</center></div>
<hr color="#FF0000" width="640" align="center">
<p align="center"><a href="about.htm">[Meet the ANRF]</a> <a href="whatis.htm">[Latest
Research]</a> <a href="giving.htm">[Support the Research]</a> <a href="donors.htm">[Our
Sponsors]</a> <a href="awards.htm">[Awards]</a><br>
<a href="grant.htm">[Grant Application Guidelines</a> <a href="cureart1.htm">[<em>Cure</em>Arthritis
Newsletter]</a> <a href="useful.htm">[Arthritis Info &amp; Links]</a> <a
href="contact.htm">[Contact Us]</a></p>
<p align="center"><b><font color="#0000FF">This page, and all the contents of this Web
site,<br>
are Copyright © 1999 by TouchVision,<br>
Seal Beach, California. All rights reserved.</font></b> <br>
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