Donor Form
Yes! I would like to contribute to “Steve in Training” in support of The Leukemia Lymphoma
Society.
Please check the appropriate contribution below:
__$26 $.50/kilometer of swim, bike and run.
__$52 Why not double it?
__ $75 Better him than me!
__ $100 It’s a GREAT cause!
__ $250 It’s a REALLY GREAT cause!!!
__ $500 Steve’s my HERO!
__ $1000 I’m Steve’s HERO!
__ $____ Give as much as you can (you won’t be sorry).
Name:______________________________________
Address:____________________________________
City, State, Zip:_______________________________
E-mail:______________________________________(optional)
Make check payable to The Leukemia & Lymphoma Society and mail it to:
The Leukemia & Lymphoma Society
c/o Steven Braun
10311 N. Fair Desert Dr
Tucson, AZ 85737
To donate using a credit card go to http://www.active.com/donate/tntdms/tntdmsSBraun