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14th Annual Thanksgiving Meal Application
If you, or anyone you know, would be interested in receiving a thanksgiving meal please fill out this form and
return it to us by November 9th, 2012. Please print clearly to ensure that your information is processed
correctly. *Required fields
                                                                                   Office Use Only:
Name of Applicant*: _________________________                                                               Contact Information
Size of Household*: _________________________                                      Home Address*:
Name and Ages of Children:                                                             _________________________________________
________________________________
                                                                                       _________________________________________
________________________________
________________________________                                                       _________________________________________
________________________________
                                                                                   Phone Number*: (______) _______ - ___________
Are you a single Parent*?                    Yes                No
                                                                                   Email: ____________________________________
Ethnicity: _________________________________
(Please note, all races, ethnic groups, cultures, and genders are welcomed to apply)

My family is supported by*:                  No Income                             Single Income                               Two Incomes
Annual Income*:                      0-$10,000               $10,001-$20,000                    $20,001-$30,000                    $30,001+
Could your family use financial assistance during the holidays? Please write a brief history about your family
so that we can get to know you and your family better*:
______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________
Use a separate piece of paper if necessary. Enclose any information you feel would be helpful in assessing your application.

I certify the information I have provided is true and correct to the best of my knowledge. All information is subject to verification. Falsification of
information will disqualify applicants. Remember, if you exaggerate information and are rewarded a meal, you would be taking away this
opportunity from a truly needy family. Your honesty is greatly appreciated.

                                                Signature* ______________________________ Date_________________

Please send this and any additional pages to the address provided below no later than Friday, November 9th, 20112.
                                                               Lambda Theta Phi
                                                      c/o Thanksgiving Outreach Application
                                                             22632 S. Avalon Blvd.
                                                               Carson, CA 90745

  If you have internet access, you can also apply online at www.longbeachlambdas.com/thanksgiving/apply.php
14th Annual Thanksgiving Sponsorship Form
We would like to extend an invitation to participate in our 14th Annual Thanksgiving Outreach Program. By
contributing, you will join us in spreading a little bit of joy this Thanksgiving Holiday. Sponsoring a family, or
donating, is a quick and easy process. Just fill out this form or visit our website for more information. We thank
you in advance for your generous donation!

Lambda Theta Phi, Latin Fraternity Inc. is organized       Be assured that your help will be greatly appreciated
under the Nonprofit Corporation law for charitable         and your efforts will unquestionably be recognized.
purposes. We are exempt from Federal Income Tax            As a thank you, all sponsors of our Thanksgiving
as a non profit 501 (c) (3) public charity designation.    Outreach are listed and acknowledged on our
All donations to the Outreach are tax deductible. We       website and on pamphlets that are distributed to the
can provide receipts for any donations upon request.       community.


Yes, we are interested in providing a level of
sponsorship to Lambda Theta Phiʼs Thanksgiving
Outreach. We would like to participate by…

____ Sponsoring _____ families at the price of $ ____
____ Sponsoring a single family at the price of $60.
____ Co-Sponsoring a family at the price of $30.
____ Partial sponsor a family at the price of $15.
____ Providing a donation of $_____


                                                Name/Org. name : ___________________________________
                                                           Phone : ___________________________________
                                                            Email : ___________________________________


                                                          Address : ___________________________________
                                                                   ___________________________________
                                                                   ___________________________________

Please enclose a check payable to Lambda Theta Phi to the address provided below no later than Friday,
November 09th, 2012

Lambda Theta Phi
c/o Thanksgiving Outreach
22632 S. Avalon Blvd.
Carson CA, 90745

Your sponsorship will bring an appreciated meal and extreme joy to a family in need. We will greatly
appreciate your sponsorship. On behalf of Lambda Theta Phi, Latin Fraternity Inc., we would like to thank
you in advance for your generous donation.
If you have internet access, you can also donate online at www.longbeachlambdas.com/donate.html

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Application 2012

  • 1. 14th Annual Thanksgiving Meal Application If you, or anyone you know, would be interested in receiving a thanksgiving meal please fill out this form and return it to us by November 9th, 2012. Please print clearly to ensure that your information is processed correctly. *Required fields Office Use Only: Name of Applicant*: _________________________ Contact Information Size of Household*: _________________________ Home Address*: Name and Ages of Children: _________________________________________ ________________________________ _________________________________________ ________________________________ ________________________________ _________________________________________ ________________________________ Phone Number*: (______) _______ - ___________ Are you a single Parent*? Yes No Email: ____________________________________ Ethnicity: _________________________________ (Please note, all races, ethnic groups, cultures, and genders are welcomed to apply) My family is supported by*: No Income Single Income Two Incomes Annual Income*: 0-$10,000 $10,001-$20,000 $20,001-$30,000 $30,001+ Could your family use financial assistance during the holidays? Please write a brief history about your family so that we can get to know you and your family better*: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Use a separate piece of paper if necessary. Enclose any information you feel would be helpful in assessing your application. I certify the information I have provided is true and correct to the best of my knowledge. All information is subject to verification. Falsification of information will disqualify applicants. Remember, if you exaggerate information and are rewarded a meal, you would be taking away this opportunity from a truly needy family. Your honesty is greatly appreciated. Signature* ______________________________ Date_________________ Please send this and any additional pages to the address provided below no later than Friday, November 9th, 20112. Lambda Theta Phi c/o Thanksgiving Outreach Application 22632 S. Avalon Blvd. Carson, CA 90745 If you have internet access, you can also apply online at www.longbeachlambdas.com/thanksgiving/apply.php
  • 2. 14th Annual Thanksgiving Sponsorship Form We would like to extend an invitation to participate in our 14th Annual Thanksgiving Outreach Program. By contributing, you will join us in spreading a little bit of joy this Thanksgiving Holiday. Sponsoring a family, or donating, is a quick and easy process. Just fill out this form or visit our website for more information. We thank you in advance for your generous donation! Lambda Theta Phi, Latin Fraternity Inc. is organized Be assured that your help will be greatly appreciated under the Nonprofit Corporation law for charitable and your efforts will unquestionably be recognized. purposes. We are exempt from Federal Income Tax As a thank you, all sponsors of our Thanksgiving as a non profit 501 (c) (3) public charity designation. Outreach are listed and acknowledged on our All donations to the Outreach are tax deductible. We website and on pamphlets that are distributed to the can provide receipts for any donations upon request. community. Yes, we are interested in providing a level of sponsorship to Lambda Theta Phiʼs Thanksgiving Outreach. We would like to participate by… ____ Sponsoring _____ families at the price of $ ____ ____ Sponsoring a single family at the price of $60. ____ Co-Sponsoring a family at the price of $30. ____ Partial sponsor a family at the price of $15. ____ Providing a donation of $_____ Name/Org. name : ___________________________________ Phone : ___________________________________ Email : ___________________________________ Address : ___________________________________ ___________________________________ ___________________________________ Please enclose a check payable to Lambda Theta Phi to the address provided below no later than Friday, November 09th, 2012 Lambda Theta Phi c/o Thanksgiving Outreach 22632 S. Avalon Blvd. Carson CA, 90745 Your sponsorship will bring an appreciated meal and extreme joy to a family in need. We will greatly appreciate your sponsorship. On behalf of Lambda Theta Phi, Latin Fraternity Inc., we would like to thank you in advance for your generous donation. If you have internet access, you can also donate online at www.longbeachlambdas.com/donate.html