Leukemia and Lymphoma Society - Team In Training Donation Form
For Robert Thille - 2008 Rock ‘n’ Roll Marathon

YES! I want to support you in running your third TNT Event and join the fight against blood-borne cancers by making a financial contribution to The Leukemia and Lymphoma Society!
No I’m sorry, but I can’t support you financially. However, know that I’ll be thinking about you while you suffer through each and every mile! :-)

Please check the appropriate contribution box and fill out your contact information below.
☐ $500 “Hey, I spend more on Starbucks every year. This is to cure Cancer!”
☐ $262 “At a $10/Mile, it sure beats doing it myself!”
☐ $150 “I could use the tax deduction and besides, it’s for a good cause!”
☐ $100 “A nice round number...I like those.”
☐ $50 “Ok, I’ll brown-bag for a week or two to help out.”
☐ $____ “None of those choices are enough!! [Or are too much.]”

Please make checks payable to The Leukemia and Lymphoma Society and if possible, mail it back to me by May 5th, 2008. If that isn’t possible, I’ll be happy to accept your donation after that date! Remember, your contribution is 100% Tax Deductible, and I can provide you with a receipt with the society’s Tax ID.
Donor’s Name: _____________________________________
Address: _____________________________________
City, State, Zip: _____________________________________
Email: _____________________________________
Honoree (if any): _____________________________________

[Email is only necessary if you’d like to receive updates on my training progress]

If you would like to charge your contribution to a credit card, please complete:
MC/VISA/AMEX (Circle One).
Card Number: _____________________ Expires:___________
Name on Card: _________________________________________
Phone Number: _________________________________________

Remember that you can also donate online: http://robert.thille.org/donate

More information about The Leukemia and Lymphoma Society at: http://www.lls.org/
For more about my training and progress see: http://robert.thille.org/Recreation/TNT/

Please send your donation to: Robert Thille Phone: 707.824.9753
7575 Meadowlark Dr.
Sebastopol, CA 95472-4411

Thank you very much for your support!



Robert Thille