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CIMS Online Donation Form

By financially supporting CIMS you are helping make Mother-Friendly care a reality. We appreciate that supporting CIMS with a financial contribution is a significant and generous commitment. To make it as easy as possible, you can choose between making a contribution online through our PayPal account or by returning our downloadable Donation Form (PDF). For you convenience, the downloadable form offers the option to make your total contribution among one or more installments.

Designate my gift in support of:

Amount: $


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Download and print the PDF version of this form and mail or fax it to:

Coalition for Improving Maternity Services
1500 Sunday Drive, Suite 102
Raleigh, NC 27607
Telephone: 919.863.9482
Fax 904-285-2120