| Participant's Name, Phone |
| ADDRESS: Street, City, State, Zp code |
THANK YOU FOR YOUR DONATIONS TO THE
YULETIDE BALL CHAMPIONSHIP'S 2004
"AIDS AND CANCER LEARN-TO-DANCE-ATHON" ON SUNDAY, JANUARY 4TH, 2004,
FROM 3:00PM TO 11:30PM
"Any" amount raised will be
greatly appreciated by the AIDS and cancer victims and their families. Ask
each donor to indicate which charity(s) they would like their donations to benefit.
Write checks to" The Friendship Society" or to the
designated charity. All undesignated funds will be divided equally between the
6 organizations. Funds
may also be made directly to any other favorite charities, if desired by the
donor/sponsor.
All Contributions are 100% Tax-deductible
and 100% of all funds will go directly to the specified charity (s):
Whitman-Walker Clinic, The Mautner Project, The Susan G. Komen Breast Cancer
Foundation, The National colorectal Research Alliance, St Jude Children's Research
Hospital and Oprah's Angel Network. Please print legibly.... and Thanks!!
| SPONSOR'S NAME | COMPLETE ADDRESS (EMAIL, ST., APT. NUMBER , CITY, STATE) | ZIP CODE | AREA CODE & PHONE | AMOUNT
PRE-PAID & CHARITY (S) |
| 1. | ||||
| 2. | ||||
| 3. | ||||
| 4. | ||||
| 5. | ||||
| 6. | ||||
| 7. | ||||
| 8. | ||||
| 9. | ||||
| 10. | ||||
| 11. | ||||
| 12. | ||||
| 13. | ||||
| 14. |
Bring this form
to the "AIDS and Cancer Learn-To-Dance-Athon", along with all pledges.
Located
at the Capital Hilton Hotel, 1001 16th Street, NW (at 16th St & K), Washington
DC. For Additional information or to volunteer for this event, please contact:
Terry Chasteen, 202-462-0870, TerryChasteen@hotmail.com,
www.PleaseDanceWithMe.com
Sponsored by The Yuletide Ball Championships,
The Capital Hilton, The Chevy Chase Ballroom & DanceSport Center, the Lambda
DanceSport Association of Washington D.C. and www.PleaseDanceWithMe.com.