| First
Base/Fresh Start Sponsored by Fisher Memorial AME Zion Church 944 Elmwood, Evanston, IL 60202 • (847) 475-4447 or (847) 864-6355 |
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Enclosed is a gift of $___________ to support the work of First Base/Fresh Start.
Name__________________________________________________________________
Address________________________________________________________________
City_______________________________State_____________Zip_________________
Phone________________________ Email______________________________________
Make check payable to First Base/Fresh Start.
Gift is
¨ in memory
of:____________________
¨
in honor
of:______________________
Please send an acknowledgement of this gift to:
Name______________________________Address_____________________________________
City_______________________________________ State____ Zip________________
¨
Enclosed is
a form for my company to match my gift.
¨
Please do
not list my/our name on any list of donors.
Please mail this form with your gift to:
Please mail this form with your gift to:
944 Elmwood
Evanston, IL 60202