Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
In Kind Donation Form
1. IN KIND GIFTS
American Cancer Society
Relay For Life® Frisco
May 20-21, 2011 – 6:00 PM – 6:00 AM
At Lone Star HS Football Field
In Kind Gift Card or Certificate Form
Individual / Company Name: ___________________________________________
Address: __________________________________________________________
City: ______________________________________________________________
State: ______________________________________ Zip Code: ______________
Phone Number:_____________________________________________________
Email Address:______________________________________________________
The American Cancer Society Relay For Life Frisco event gratefully acknowledges the
In Kind Gift.
Description of In Kind Gift card or Certificate: _____________________________
__________________________________________________________________
Donor’s Information
Received on the Month: _____________________ Day: _____ Year: ____________
PLEASE NOTE: Since the ACS cannot attach a proper dollar value to your gift; you may
wish to do so here, as a reminder for your income tax accountant when he computes
your charitable deductions for this year. $ _________________________________
Mail to:
American Cancer Society
Attn: Relay For Life Frisco
8900 John Carpenter Fwy For More Information go to www.friscorfl.com
Dallas, TX 75248
audra.cozart@cancer.org American Cancer Society tax Id: 74-1185665
214.819.1202