Printable
Donation Form
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Mr. Glover and Mr. Damon along with Ben Affleck, Casey Affleck, Edward Norton, Don Cheadle and Rene Russo
are inviting celebrity friends and entertainment executives to help
raise money for
The Sunrise Children's Village.
Your sponsorship and presence will greatly strengthen the awareness
that all of us have the ability to enrich the lives of others.
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Name: _____________________________
Title: ______________________________
Company/Organization: ________________
Address: ___________________________City: ______________________________
State: _____________________________ Zip: ______________________________
Signature: __________________________ Amount: $______________________
You
may charge my: □ VISA □ MasterCard
□ American Express
Credit
Card #:
_____
Exp.
Date: /
__
Name
as it appears on card:
Print
and complete our donation form, including credit card information (
if applicable) and signature.
Please make checks payable to:
P.U.A.A.I.
Memo: The Sunrise Children's Village
Attn: Carrie Productions
4444 Riverside Drive, Ste. 110
Burbank, CA 91505
