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Help us to accelerate biotech innovation for rare diseases, please use the form below to submit your donation and/or purchase exclusive EveryLife merchandise.
To make a donation, please enter the amount of your donation in the "Donation (no merchandise)" box (in yellow). To purchase merchandise, please enter the quantity of each item in the "Qty." boxes. The dollar figures will be filled-in automatically based on the quantity entered. You may make a donation and purchase merchandise in the same transaction. Unless designated otherwise, 100% of your donation will go to fund our Rare Disease Workshop Series focused on improving the clinical development process. These workshops bring together key leaders from the FDA, industry, academia, the NIH and other stakeholders to generate near-term, realistic solutions to the challenges of rare disease drug development.

				Donation Amount
	Donation (no merchandise)		$	$



"no disease too rare . . ." Poster	“no disease too rare . . .” Poster	$20	Qty.	$

	“no disease too rare . . .” Sublimated Tee	$40	Qty.
	Small:			$
	Medium:			$
	Large:			$
	XL:			$
	2XL:			$

	*Acme Studios Custom-Designed EveryLife* Pen**	$125	Qty.	$

	Total Donation:		$

	Tax Deductible Amount:		$

Direct my donation to:

EveryLife Foundation www.rareartist.org

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Notes:

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