Mother's Matter Donation Form

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Mothers Matter Charity Auction Donation Form Friday, October 14th, 2011 at Tavistock Country Club Featuring Comedian Dena Blizzard

Item or Service Donated: ________________________________________________________ Value of Item: ________________________________________________________ Valid Until (if applicable): ________________________________________________________ Description of Item or Service: ________________________________________________________ Basket Sponsorship: Gold @$500 ______ Bronze @$250 ______ Patron@$100 _______  I would like more information about a Basket Sponsorship  Enclosed is my check payable to: Lauren Rose Albert Foundation My donation: (check one)  is enclosed with this completed form in the return envelope  will be mailed to the LRAF, prior to September 1, 2011, to the LRAF address listed below  can be picked up at the following place/time(s) ________________________________________ Please return completed form prior to September 1, 2011 to: Lauren Rose Albert Foundation 106 Kenwood Drive, Cherry Hill, NJ 08034 For addition information, please call 856.428.7673 or e‐mail mothersmatter@laurenslegacy.org Business Name: ___________________________________________________________________ Contact Person: ___________________________________________________________________ Address: ___________________________________________________________________ ___________________________________________________________________ Telephone: ____________________ Email: __________________________________

Thank you for your Auction Donation — We appreciate your generosity! Auction Contributors are recognized at the Comedy Night Event in Ad Book and on the LRAF website: www.laurenslegacy.org Basket Sponsors receive additional recognition in the dual event sponsors book The LRAF is a 501(c)3 Nonprofit Organization — Tax ID #22‐3733737.


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