Donation Form

Please complete this form:

Business Name

Address 1

Address 2

City

State

Zip Code

Phone

Yes we are pleased to help and enclosing a check in the amount of;

	$100 (my name will appear on the sponsor board, t-shirts, and website)
	$200 (my name will appear on the sponsor board, t-shirt, website and print media)
	$300 (my larger logo will appear on the sponsor board, t-shirts, website, print media and program)
	$1000 (I am proud to be a major sponsor. All of the above plus recognition as a major sponsor)
	Other $_____________________

Other opportunities include:

Sponsor a team of walkers or runners. A registration form and pledge sheet is available on this website. Participants will receive a t-shirt, bottle of water,
and a "goody" bag

You may also want to provide items for our goody bags. Ideas: snacks, water, apples, magnets, pens, coupons, other promotional items.

Will be able to provide: _______________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________

Heartfelt thanks from Parkinson patients, family, and friends

Please print this form and mail to:

Kettle Moraine Cares--Kenny's Second Annual Walk/Run for Parkinson Disease
P.O. Box 502
Campbellsport, WI 53010