Tn tdonationform

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Tn tdonationform

  1. 1. DONATION FORMYes, you want to help raise money for The Leukemia & Lymphoma Society! $160 That’s $10 for each week I will be training $105 That’s $8 for each mile I will be running in the race $80 That’s $5 for each weekend morning I will wake up at 7 a.m. to train $52 That’s $15 for each month of the training $ The amount you are happy to donate instead of having to train * If your employer matches funds, you can increase your contribution! Ask your HumanResources/Benefits department for the appropriate forms.*Your nameStreet addressCity, state, zipPlease make checks payable to LLS and send to me by September 22, 2010.If you prefer to make a contribution by credit card, please complete the following:Visa / Mastercard / American Express (circle one)Card number Exp. dateName on Card SignatureAll contributions are 100% tax-deductible. Approximately 75% of the Society’s total expensessupport research and patient services. For more information about The Leukemia &Lymphoma Society, visit www.lls.org.If you would like me to run in honor of someone you care about who has been affected by ablood cancer, please list the name(s) here.__________________________________________________________________________________

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