Team In Training Donor Form

YES!

I will help fight leukemia and lymphoma in recognition of the efforts of

CHERYL BARTH

who is participating in honor of

TOM HUNDLEY, JR., CAROL SCHWARTZ, ERIC MAYER & DOTTIE ROBINSON

at the following event:

WALT DISNEY WORLD MARATHON

My tax deductible donation in support of a 26.2 mile marathon will be:

_____ $5.00

_____ $10.00

_____ $15.00

_____ $20.00

_____ $25.00

_____ $50.00

_____ $100.00

_____ Other amount: ___________________

Please make check payable to THE LEUKEMIA & LYMPHOMA SOCIETY.

_____ My company will match this contribution. The completed form is attached.

I have set a personal goal to raise a minimum of $2100 for The Leukemia & Lymphoma Society and to finish the marathon. No matter how long it takes me to finish the race, leukemia and lymphoma patients throughout the world will be winners. So will you and I.

THANK YOU FOR YOUR SUPPORT!