AGC Animal Sanctuary’s Wiggle Waggle Walk for Wildlife
Use this form to list all your friends and neighbors who support your walk
efforts by contributing to the Wiggle Waggle Walk.
Ask your company to match
your total contribution. All contributions are tax-deductible.
Let
everyone know that anyone who individually contributes $200 or more will earn a
place on the AGC Animal Sanctuary, Wiggle Waggle Walk for Wildlife wall.
Please
enclose all checks payable to AGC Wiggle Waggle Walk and return with your
registration form.
(If you are not able to attend the Wiggle Waggle Walk but
wish to participate by making contributions - and by asking your friends,
neighbors, and businesses to contribute
please use this form to list and remit
all contributions and mail to 8707 W. Dameier Rd. Lena, IL 61048.)
Thank you
for your participation in the Wiggle Waggle Walk and your support of AGC Animal
Sanctuary’s Wildlife. Please copy this form if additional space is needed.
This years event is being held on October 7 at Lake-Le-Aqua-Na from 9 to 2.
Print, fill in and mail to: 8707 W. Dameier Rd. Lena, IL 61048.
1 - Contributor’s name:____________________________________________
Contribution $_____________________
Address & Phone:
______________________________________________________________________________________
2 - Contributor’s name:____________________________________________
Contribution $_____________________
Address & Phone:
______________________________________________________________________________________
3 - Contributor’s name:____________________________________________
Contribution $_____________________
Address & Phone:
______________________________________________________________________________________
4 - Contributor’s name:____________________________________________
Contribution $_____________________
Address & Phone:
______________________________________________________________________________________
5 - Contributor’s name:____________________________________________
Contribution $_____________________
Address & Phone:
______________________________________________________________________________________
6 - Contributor’s name:____________________________________________
Contribution $_____________________
Address & Phone:
______________________________________________________________________________________
7 - Contributor’s name:____________________________________________
Contribution $_____________________
Address & Phone:
______________________________________________________________________________________