to download a word version of the form right-mouse click here and choose save-as , a PDF right mouse click here and select save-as.

Sponsorship Form Yes! I would like to contribute to the Leukemia and Lymphoma society in support of David's commitment to complete the Anchorage marathon. Your contribution is 100% tax deductible. The LLS will send you a receipt for your donation.  

Some giving suggestions:
$ 26.20  $ 1 for each mile I will run.
$ 42       $ 1 for each kilometer I will run. For all of you metrics out there.
$ 76       $ 2 for each year of the lucky and healthy years I have lived by the time I run!
$ 100      because is a nice round number and easy to write on the check
$ 250      because you feel specially motivated by the cause.
$ 1000     because you want to match me
$ ____     because that is what you can donate.
Please make your check payable to the Leukemia and Lymphoma society (LLS) and mail it with this completed form to:

                                 David Bigio

                                 429 Addison Ave

                                 Palo Alto, CA 94301

 

 I need to hear from you by March 15th
Please complete the information below so that LLS can send your donation receipt.

Your Name ____________________________________________________________ 

Address ________________________________________________

City _______________________ State _____________ Zip _____________

  
Your phone and e-mail are so That I can thank you directly. They are not given to LLS. 

Phone number ( ) ____-_______ e-mail ______________________

  
If you would like to charge your contribution to a credit card. It is completely safe!

MC/Visa (circle one) # ___________________________________ Amount $ __________ 

Name on card: _____________________________________________ 

Expiration Date: (mm/yy) ___/____ Signature: __________________________________

  
Name(s) of your honoree(s): _______________________________________________

 Yes I would like to receive updates of your progress.