SPONSOR FORM
HOME
YES! I would like to contribute to the Dana Farber Cancer Institute and support you in your first Boston Marathon!!

(Please circle the appropriate contribution below)

$26.20   �One mile, one buck, one mile, one buck...�
$35.00   �Go Ale, Go Ale!�
$50.00   �Speedy Villegas attacks again!�
$75.00   �Cheers to running the hills!�
$100.00 �You do the run, I�ll put the money!�
$200.00 �I can deduct from taxes AND help find a cure to cancer! That�s a great deal!!�
$_____  Other (be fun! create your own!!)___________________________________

Remember that your contribution is tax deductible. EVERY SINGLE PENNY COUNTS!!!
Please make checks payable to: Dana-Farber Marathon Challenge and mail it back to me (Alejandra Villegas, P.O. Box 400771, Cambridge, MA 02140)

Name:____________________________________________________________
Address:__________________________________________________________
City, State, Zip:_____________________________________________________

If you would like to charge your contribution to your credit card, please either go to my DFMC webpage, or complete below and mail it back to me:
MC/Visa (circle one) #:__________________________________________
Name on Card:_________________________________________________
Expiration date:________________________________________________
Signature:____________________________________________________

My Company will match this contribution.  The completed form is attached.

THANK YOU!!!   MUCHAS GRACIAS!!!
Hosted by www.Geocities.ws

1