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Yttrium 90 Microspheres Education and Support

When The Improbable
 Is Possible

Yes Donation Form

Please fill in the fields below, print it and mail to:

YES
791 Arnold Paul Rd
Canton, Tx  75103

Name:      ______________________________

Street:      ______________________________

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Method of payment (circle one):   MC     VISA    AMEX    DISC    CHECK

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Exp Date:  _____/  _____

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THANK YOU