Membership Donation

Your SW MI Affiliate membership donation makes a difference for many men and women in southwest Michigan who may not have medical coverage or who are under 40 years of age (Most insurance will only cover mammograms for women 40 and older). We grant moneys to organizations and providers who provide discounted services for the medically underserved.

Your Affiliate membership donations may be used in SW Michigan for:

Basic Membership $25 100 breast healthcare shower cards to remind women to do monthly breast self-exams.
Partner Membership $100 One bilateral mammogram for a woman without insurance coverage.
Patron Membership $250 Purchases a demonstration model used to teach people how to properly identify suspicious lumps in breast tissue.
Pace Setter Memberhsip $500 An excisional biopsy and a medical consultation with a surgeon for an uninsured patient.
Lifetime Membership $1,000 Will help us communicate with people in southwest Michigan about current issues in breast health and breast cancer through this quarterly newsletter.

This is your opportunity to remember your loved one and act on your promise to help eliminate breast cancer.

Join the 7,300 dollars drive for 7,300 breast cancer diagnoses in Michigan during 2002

Please send in your membership donation today and embrace the Power of a Promise.

Suggested membership levels of donations:

  • Student $15
  • Member $25
  • Supporter $50
  • Partner $100
  • Patron $250
  • Pace Setter $500
  • Lifetime $1000

My company will match my donation

I want to make a donation in honor of / memory of
Please notify:

Please make checks payable to: SW MI Affiliate.

Enclose check with this form and mail to:
SW MI Affiliate of the Komen Foundation
P. O. Box 2031
Kalamazoo MI 49003-2031

All membership donations are tax-deductible Tax ID #: 38-3437505.
Membership donation year begins April 1.