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| Contribute online to NAMIWalks Pennsylvania Corporate Sponsors Family/Business Teams Personal Donations |
Just print out and mail in the form below.
NAMIWALKS PA 2007 Donation/Pledge Form-
HOW TO PLEDGE
1. Complete this form and mail/fax/email to your family or business team leader.
2. Or, donate or pledge directly to NAMI Pennsylvania: call 717-238-4390 or email us at
nami-pa@nami.org for details.
If mailing (please remember to enclose your check or money order):
NAMIWALKS PA 2007
NAMI PA
2149 N 2nd St
Harrisburg, PA 17110
PERSONAL INFORMATION
_____ Yes, I/We plan to attend the NAMIWALKS for the Mind of America on September 15th,
2007.
Number attending will be: ____
______ No, I/we can’t attend but are designating _________________________ to attend in
my/our stead.
______ No, I/we can’t attend but we are interested in receiving more information on the plans for
the Walk as they develop.
NAME: ____________________________________________________________
DESIGNEE: (if applicable) _____________________________________________
PLEDGE AMOUNT: $____________ or DONATION AMOUNT: $___________
I WOULD LIKE TO DONATE GOODS, SERVICES OR GIFTS IN KIND (details below):
____________________________________________________________________________
__
ADDRESS:__________________________________________________________
CITY: __________________ STATE: _________ ZIP: _______________
PHONE: ________________ EMAIL: _____________________________________
NAMIWALKS PA 2007 Donation/Pledge Form-
HOW TO PLEDGE
1. Complete this form and mail/fax/email to your family or business team leader.
2. Or, donate or pledge directly to NAMI Pennsylvania: call 717-238-4390 or email us at
nami-pa@nami.org for details.
If mailing (please remember to enclose your check or money order):
NAMIWALKS PA 2007
NAMI PA
2149 N 2nd St
Harrisburg, PA 17110
PERSONAL INFORMATION
_____ Yes, I/We plan to attend the NAMIWALKS for the Mind of America on September 15th,
2007.
Number attending will be: ____
______ No, I/we can’t attend but are designating _________________________ to attend in
my/our stead.
______ No, I/we can’t attend but we are interested in receiving more information on the plans for
the Walk as they develop.
NAME: ____________________________________________________________
DESIGNEE: (if applicable) _____________________________________________
PLEDGE AMOUNT: $____________ or DONATION AMOUNT: $___________
I WOULD LIKE TO DONATE GOODS, SERVICES OR GIFTS IN KIND (details below):
____________________________________________________________________________
__
ADDRESS:__________________________________________________________
CITY: __________________ STATE: _________ ZIP: _______________
PHONE: ________________ EMAIL: _____________________________________
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