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FUNDRAISING LETTER DONOR FORM

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					FUNDRAISING LETTER DONOR FORM

YES! I will help fight leukemia & lymphoma in recognition of the efforts of
____________________Insert Your Name and Event Here _____________________

Participating in honor of _______________Insert Your Honored Teammate’s Name Here________________

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I will donate $ __________ for the event. Check # __________ enclosed (Please make check payable to the Leukemia & Lymphoma Society) MC/VISA # ________________________________________________________________ AMEX # ___________________________________________________________________

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Exp. Date______________________________________________________________________ Cardholder_____________________________________________________________________ Signature______________________________________________________________________ Date _______________________________________ Name_________________________________________________________________________ Address_______________________________________________________________________ City ____________________ State ____________________ Zip _______________________ Phone_________________________________________________________________________

Note: If our team raises $100,000 in a season, it will pay for a research grant. $2000 pays for a one month’s supply of Gleevec (oral targeted drug therapy). $400 pays the 20% co-pay on a month’s supply of Gleevec. $300-$400 pays for transportation for an out of state bone marrow donor. $240 pays for parking for 6 weeks of daily radiation treatments at UCLA. $100 pays for 10 Kaiser visit co-pays. $90 pays for parking for 6 weeks of daily radiation treatments at Children’s Hospital.

SAMPLE PERSONALIZED DONOR FORM
YES!! I would love to help fight Leukemia & Lymphoma and support (INSERT YOUR NAME HERE)’s fundraising and marathon efforts. [ ] $25 – Every dollar is one step closer to a cure! [ ] $50 – Thanks for the extra motivation to train harder!! [ ] $100 – Pick a mile and I’ll chant your name (while gasping for breath) during this distance. I want mile ______. [ ] $250 – Nearing the Homestretch … [ ] $500 – Finish Line! [ ] Other – Name your pledge: $__________ [ ] My employer will match my contribution (please enclose a copy of the paperwork or confirmation from your company, if possible) Let me know if your donation is in honor and/or in memory of someone, and I will write those names on my jersey to wear on race day : ______________________________________________________________________________ Name: ______________________________________________________________________ Address: _____________________________________________________________________ City ___________________________ State: _________________ Zip: __________________ Phone number: ______________________ Email: _________________________________ Please make your check payable to The Leukemia & Lymphoma Society and send it to us in the self-addressed envelope provided. Contributions can also be made by credit card: MC / VISA / AMEX (circle one) ________-________-________-________ Expiration Date: __________ Name on Card: __________________________________ Signature: ___________________________________________________________________ Or, donate online at: (INSERT YOUR FUNDRAISING WEBPAGE HERE) Thank you for your generous support ! 


				
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posted:10/31/2009
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