a Walk to remember a Walk to remember a

							a Walk to remember                                            a Walk to remember                                            a Walk to remember
       Sunday, april 26, 2009                                        Sunday, april 26, 2009                                        Sunday, april 26, 2009
                       12:00 p.m.                                                    12:00 p.m.                                                    12:00 p.m.

         holocaust memorial & tolerance                                holocaust memorial & tolerance                                holocaust memorial & tolerance
            Center of nassau County                                       Center of nassau County                                       Center of nassau County
            100 Crescent beach road                                       100 Crescent beach road                                       100 Crescent beach road
           Glen Cove, new york 11542                                     Glen Cove, new york 11542                                     Glen Cove, new york 11542

     entry/SponSor form                                            entry/SponSor form                                            entry/SponSor form
pleaSe join uS and honor the memory                           pleaSe join uS and honor the memory                           pleaSe join uS and honor the memory
        of a holoCauSt Child                                          of a holoCauSt Child                                          of a holoCauSt Child
   Y
q	 	 es! I want to walk in memory of a Holocaust Child.          Y
                                                              q	 	 es! I want to walk in memory of a Holocaust Child.          Y
                                                                                                                            q	 	 es! I want to walk in memory of a Holocaust Child.
   Enclosed is my check for $10. *If walking in memory of a      Enclosed is my check for $10. *If walking in memory of a      Enclosed is my check for $10. *If walking in memory of a
   specific child print name                                     specific child print name                                     specific child print name
q I will sponsor a Walker for $10 (print walker’s name)       q I will sponsor a Walker for $10 (print walker’s name)       q I will sponsor a Walker for $10 (print walker’s name)


q I cannot participate but my donation in memory of a         q I cannot participate but my donation in memory of a         q I cannot participate but my donation in memory of a
  Holocaust child is enclosed.                                  Holocaust child is enclosed.                                  Holocaust child is enclosed.
	    q	Visa q Mastercard q Amex                               	    q	Visa q Mastercard q Amex                               	    q	Visa q Mastercard q Amex

Card #                                  Exp. Date             Card #                                  Exp. Date             Card #                                  Exp. Date

Name                                                          Name                                                          Name

Address                                                       Address                                                       Address

Email                               Phone                     Email                               Phone                     Email                               Phone
          donations can also be made online at                          donations can also be made online at                          donations can also be made online at
              www.holocaust-nassau.org                                      www.holocaust-nassau.org                                      www.holocaust-nassau.org
         The holocaust memorial and tolerance Center                   The holocaust memorial and tolerance Center                   The holocaust memorial and tolerance Center
      of nassau County uses the lessons of the holocaust            of nassau County uses the lessons of the holocaust            of nassau County uses the lessons of the holocaust
    to promote respect, compassion and understanding for          to promote respect, compassion and understanding for          to promote respect, compassion and understanding for
     all people. our educational programs reaches tens of          all people. our educational programs reaches tens of          all people. our educational programs reaches tens of
              thousands of individuals each year.                           thousands of individuals each year.                           thousands of individuals each year.
     For more information contact Silvana LaFerlita Gullo,         For more information contact Silvana LaFerlita Gullo,         For more information contact Silvana LaFerlita Gullo,
      Director of Development at 516-571-8040, ext. 107             Director of Development at 516-571-8040, ext. 107             Director of Development at 516-571-8040, ext. 107
        or visit our website: www.holocaust-nassau.org.               or visit our website: www.holocaust-nassau.org.               or visit our website: www.holocaust-nassau.org.