The My Gym - Challenged America Foundation
Contact Sheet
Name:
Email Address:
Home Address:
Work Address:
Home Phone:
Work Phone:
Cell Phone:
How do you prefer to be contacted?
Company:
Position:
Industry:
Select One
Accounting
Arts
Banking
Advertising/Marketing/PR
Consulting
Education
Entertainment
Financial Services
Information
Technology
Media
Personal Services
Therapy
Retail
Social Services
Healthcare
Other
Are you active in any other organization?
Committee Interest:
Fundraising
Marketing/PR
Events
Do you know anyone who: (...and, if so, may we contact the individual?)
Is a grand writer?
Works for a foundation or in a corporate philanthropic department?
Has planned major nonprofit benefits and events?
Might wish to become a Challenged America volunteer?
Please return to MGCA:
15300 Ventura Blvd., Ste 414
info@challengedamerica.com
203.256.9080 (fax)
Sherman Oaks, CA 91403
www.mgcahelpskids.org
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