Every day, children like Alex, who dream of chasing a soccer ball with their friends, lose that chance to Duchenne Muscular Dystrophy. DMD is a relentless thief—stealing strength from young boys’ legs, their arms, their very breath. By age 12, most are confined to wheelchairs; by their teens, many rely on ventilators to survive. But your donation to the DMD Fund can fight back. Every dollar powers groundbreaking research, bringing us closer to a cure that could restore hope and give Alex and thousands like him a shot at a full, active life. Don’t wait—every moment counts. Donate now and be the hero these kids need.

Gift from the Heart to Duchenne Muscular Dystrophy Research Fund (DMDfund)
(To print this form, only, click on the text and then use your normal print options)

Please print and use this form for contributions, memorial gifts, or for honoring your friends and family on special occasions. A beautiful card will be sent to them in your name.

All contributions are tax-deductible as allowed by law.

Once completed, mail this form and donation gift to:
DMDfund
PO Box 17371
Encino, CA 91416

Please accept my tax decuctible contribution of $___________

_____Check Enclosed (Please make payable to “DMDfund”)

_____ VISA or _____ MasterCard

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| exp.____/_____

____________________________________________
Signature (as it appears on your credit card)

Your Name: ______________________________________________

Address: _________________________________________________

City: _______________________ State __________ Zip _________

Email Address: ____________________________________________ (To be held in privacy)

My gift is made in memory of: ____________________________________________________

in honor of: _________________________for the occasion of __________________________

___________________________________________________________________________________
Please Notify:

Name ________________________________________________

Address ______________________________________________

City _________________________ State ____________ Zip ___________

|___| I’ve enclosed my statement of sentiment and support ofr teh kids & families with DMD.
You have my permission to include these in the DMDfund website Hearts of Gold register.
Please send me a link at ____________________________________ (address will be held in privacy)

… We thank you for your generosity… and for remembering … your heart is a muscle too!

Kyle Kyllan – Kyle@DMDfund.org – PO Box 17371 – Encino, CA 91416 – 818-692-5500