Your contribution supports diabetes research and education. (Make check payable to the American Diabetes Association/Pennock Island Challenge) …
SPONSORSHIP CONFIRMATION
Company Name:
__Telephone: _________________
Name: _________________________________________ Telephone :
_______________________
Address:
__________________________________________________________________________
Authorizing Signature:
Date: _______________________
Print Name: __
Title: _________________________
The above named individual or company wishes to support name of
team/individual ______________
____________________________________________________________________________
_______
to participate in the Pennock Island Challenge in Ketchikan Alaska, August
6, 2006, with an honorary donation of
________________________________________________________________________
Your contribution supports diabetes research and education E-mail
pennochchallenge@hotmailcom this confirmation form as soon as possible or
fax to 907 247-8682
Mailing Address:
Make check payable to the American Diabetes Association/Pennock Island
Challenge
Gretchen Klein and William Schulz
Team ADA
345 Carlanna Lake Road
Ketchikan, Alaska 99901
E-mail:
pennochchallenge@hotmailcom
907-225-2072 tel
907-247-8682 fax
American Diabetes Association is a 501c3 non-profit organization,
established in 1940 Tax ID 13-1623888
Our Mission: To prevent and cure diabetes and to improve the lives of all
people affected by diabetes
