FINANCIAL SUPPORT

Help further the work of the New Mexico Mission of Mercy (NM MOM) by making a financial contribution.

NM MOM combines the donated services of hundreds of dentists, dental hygienists, dental assistants and an array of volunteers to provide free dental clinics.

Dental care is unaffordable for many individuals. Oral disease can affect the ability to eat, and how a person looks and communicates. Oral health is inseparable from general health, and can affect self-esteem and compromise a person's ability to work at home, at school, or on the job.

NM MOM is a two-day dental clinic in which portable dental stations are set up in a large public arena, and dental screenings and services are provided at no charge to those who attend.

NM MOM receives no governmental funds, and is dependent on grants and donations. Since NM MOM patients are not charged for the dental services they receive, ongoing financial support is a great need.

NM MOM is a program of the New Mexico Dental Foundation, a 501(c)3 organization.

For additional information, contact Larry B. Lubar, D.D.S. - NM MOM Event Chair (505.884.9793) or Karen L. Knauf, NM MOM Program Coordinator (505.681.2188).
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New Mexico Mission of Mercy - Contribution Form
Donate by phone at 505.681.2188 or fax this form to 505.294.9958

Name/Company: __________________________________________________________________
Address: _________________________________________________________________________
City: _____________________________________   State: _________   ZIP code: _____________


Credit Card
Name on Card: ________________________________   Credit Card Type: __________________
Number: ______________________________________   Expiration Date: ___________________

Check
Make check payable to:   New Mexico Dental Foundation

Send form and donation to:
New Mexico Mission of Mercy, c/o New Mexico Dental Foundation, P.O.Box 16854, Albuquerque, NM 87191