Love Helps Team Excel CMM registration

Team Excel's Winter/Spring Session

Registration Form

Register by Jan. 10, 2011!

Love Helps, inc., P.O. Box 669, Madison, TN 37116

Fed. ID: 62-1600206

If you have any questions about this form, please contact us.
NOTE: all fields in Bold or marked with (*) must be filled in prior to submitting form.

Title: *

First Name: *

Last Name: *

Suffix:

Company:

Mailing Address: *

City: *

State: *

Zip: *

Email: *

area code
phone number

Home Phone:

Work Phone:

Fax:

I would like to be a walker/runner on Team Excel and commit to pay/raise $225 in donations for Love Helps, inc. by mid-March.

I/my company would like to sponsor Team Excel through a monetary donation in the amount of:

I/my company would like to sponsor Team Excel by donating the following item(s):

SPONSORS: Send sponsorship items/payment to Love Helps, inc. ASAP.

Comments:

We will contact you in ASAP to confirm and provide more details.
Please print this form out BEFORE submitting it to keep a copy for your records.

BEFORE submitting, check that all fields with a (*) have been filled in

Click to clear all:

Click to send:

Thank you for registering! Please contact us if you have any questions.

To Team Excel: description | sponsorships

	Team Excel's Winter/Spring Session
	Registration Form
	Register by Jan. 10, 2011!
	Love Helps, inc., P.O. Box 669, Madison, TN 37116
	Fed. ID: 62-1600206
If you have any questions about this form, please contact us. NOTE: all fields in Bold or marked with (*) must be filled in prior to submitting form.
Title:		*
First Name:		*
Last Name:		*
Suffix:
Company:
Mailing Address:		*
City:		*
State:		*
Zip:		*

Email:		*
		area code	phone number
Home Phone:
Work Phone:
Fax:

I would like to be a walker/runner on Team Excel and commit to pay/raise $225 in donations for Love Helps, inc. by mid-March.

I/my company would like to sponsor Team Excel through a monetary donation in the amount of:

I/my company would like to sponsor Team Excel by donating the following item(s):

SPONSORS: Send sponsorship items/payment to Love Helps, inc. ASAP.

Comments:

We will contact you in ASAP to confirm and provide more details. Please print this form out BEFORE submitting it to keep a copy for your records. BEFORE submitting, check that all fields with a (*) have been filled in
Click to clear all:			Click to send:

Thank you for registering! Please contact us if you have any questions.