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Hope FliesÂŽ Catch the Cure !

8th annual celebration to raise awareness and funds for research and treatment of mitochondrial disease

Friday, September 22, 2017 Auction Donation Form Please complete all information - kindly return by August 30, 2017 PLEASE PRINT ITEM: ITEM DESCRIPTION: As will appear in Program*

Date item ready:

ITEM VALUE: $ DONOR INFORMATION Company Name: Contact Name: Mailing Address:

Phone: Email: website: Donation restrictions/notes:

Pick up Instructions: Hope Flies Ctee. Member:

Today's Date:

For more information and to donate on-line: www.hopeflies.org/catchthecure Please return to: Hope Flies Catch the Cure, c/o Auction Acquistion by 8/30/2017 The Foundation for Mitochondrial Medicine, 1266 West Paces Ferry Road, Suite 301, Atlanta, Georgia, 30327

info@mitochondrialdiseases.org

FMM is a 501 (c )3 non-profit organization, Tax id: 20-3697012

Thank You for your support - Kyle Hinson & Anne Worrell, Event Co-Chairs

Hope Flies Catch the Cure auction form  
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