We know how difficult it
is for patients -- but Lyme Patients and Physicians
can help
by making a donation themselves or
finding at least one family member,
friend
or co-worker
to make a ONE-TIME or MONTHLY PLEDGE that can provide
● HELP with testing ● HELP with doctor visits
● HELP with treatment ● HELP with necessities of life
WE NEED
TO WORK TOGETHER --
WE CAN MAKE A DIFFERENCE!!
Please print this page and use yourself
or give it to someone you know.
Lyme Disease -
Borreliosis – is most-often a tick-borne infection that causes
excruciating musculoskeletal pain, crushing fatigue,
debilitating cognitive dysfunction and sometimes cardiac abnormalities.
L.E.A.P. Arizona, Lyme Education Awareness Program, provides
educational information to the public
and financial assistance
to
children and adults
suffering from Lyme disease.
Insurance does not
always cover treatment.
YES I WANT TO HELP LYME DISEASE PATIENTS
GET THE TREATMENT THEY SO DESPERATELY NEED!
L.E.A.P.
Arizona is a 501(c)3 Non-Profit, Public Charity.
Donations are tax deductible. Tax ID: 20-3291749
Enclosed is my
□ONE-TIME
□MONTHLY
PLEDGE
of
□
$10 □
$25 □
$50 □
$75 □
$100 □
$_______________
For ________________ Number of Months
Name _____________________________________________________________________________________
Address __________________________________________________________________________________
City _________________________________________ State __________________ Zip _______________
Phone _________________________________________ Fax ______________________________________
Email _____________________________________________________________________________________
Mail to: L.E.A.P.
Arizona - Lyme Education Awareness Program
P.O. Box 2654
Mesa, Arizona 85214-2654
Phone: 480-219-6869 Fax: 480-830-2788
www.leaparizona.com