Participant's Name, Phone
ADDRESS: Street, City, State, Zp code

THANK YOU FOR YOUR EFFORTS IN COLLECTING DONATIONS AND SPONSORSHIPS FOR THE FIRST ANNUAL 2007
"OUT ON THE DANCE FLOOR CHARITY BALL" ON SATURDAY, JUNE 2ND, 2007 FROM 7:00PM TO 11:00PM
"Any" amount raised will be greatly appreciated, REGARDLESS OF HOW SMALL by YOUR CHOSEN CHARITABLE ORGANIZATION(S). Please ask each corporate sponor and/or private donor to indicate which charity(s) they would like their donation(s) to benefit. Write any checks to that organization directly or to the GLBT Alliance of the Wesleyan Episcopal Church of Washington DC, along with directions for distribution if you have a preference. All undesignated funds will be divided equally between the designated "Out On The Dance Floor Charity Ball" non-profit organizations. Funds may be made directly to any 501c3 charity(s) by each donor/sponsor.
All Contributions are 100% Tax-deductible and 100% of all funds will go directly to the donor's specified charity(s) or to those designated by the "Out On The Dance Floor Charity Ball" committee: including, but not limited to PFLAG DC, Whitman-Walker Clinic and Whitman-Walker's Lesbian Services Program (LSP), The Mautner Project for Lesbians with Cancer, The Susan G. Komen Breast Cancer Foundation, The National colorectal Research Alliance, St. Jude'S Children Research Hospital, the Juvenile Diabetes Research Foundation International (JDRF), Children's Hospital of Washington DC, The Michael J. Fox Foundation for Parkinson's Research, Oprah's Angel Network and the Elton John AIDS Foundation. Please print legibly.... and Thanks!! We guarantee more fun, more entertainment, more dance training and more actual DANCING! in one night than one can possibly imagine. We've all been WATCHING "Dancing with the Stars", now it's time to make preparations for each one of us to "Become" one of those stars for the good of our community and for the good of so many others who are so much less fortunate than we.

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Please bring this form to the "Out On the Dance Floor Charity Ball", along with all pledges or mail to the Westminster Presbyterian Church's GLBT Alliance" (www.westminsterdc.org), 400 I St., SW, Washington DC. For Additional information or to volunteer for this event, please contact: Terry Chasteen, TerryChasteen@hotmail.com, www.PleaseDanceWithMe.com, 202-462-0870.
Sponsored by the Westminster Presbyterian Church's GLBT Alliance" (www.westminsterdc.org), "Lambda DanceSPORT DC" (www.DanceTeamDC.us), Parents and Friends of Lesbians and Gays of Washington DC (PLFAG DC at www.pflagdc.org) and Terry Chasteen's International DanceSPORT & Entertainment Co. (www.PleaseDanceWithMe.com).