Become a Bellevue Literary Review Patron.

Support this unique contribution to literature and medicine. All patrons will be recognized in the journal. We thank you for your generosity.

__ BLR Supporter: $75 (includes one-year subscription)

__ BLR Friend: $150 (includes one-year subscription for you and a friend)

__ BLR Muse: $250 (includes one-year subscription for you and two friends)

__ BLR Benefactor: $500 (includes three-year subscription)

__ BLR Publisher: $1000 (includes three-year subscription for you and a friend)

__ BLR Scribe: $5000 (includes three-year subscription for you and two friends)

__ BLR Founder: $10,000 (includes life-time subscription)

__ Other amount $______

Print this page and fill out the form. Please make checks payable to Bellevue Literary Review. If indicated, a gift card will be enclosed.

Mail form and check to: Bellevue Literary Review, Department of Medicine OBV-612, NYU School of Medicine, 550 First Avenue New York, NY 10016.

All contributions to NYU School of Medicine are tax-deductible to the fullest extent of the law. Donations can be anonymous if preferred