Fight Like A Champion presents
A Night To Fight 2019
7th Annual ALS Benefit
Donation Form
Name _________________________________________________________________
Company: ______________________________________________________________
Title: _________________________________________________________________
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Phone: ________________________________________________________________
Email: ________________________________________________________________
Donation Item: ___________________________________________________________
Donation Item Description: ____________________________________________________
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Item Value: ________________________________________________________________
Donation Amount: __________________________________________________________
Donation Item: ___________________________________________________________
Donation Item Description: ____________________________________________________
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Item Value: ________________________________________________________________
Donation Amount: __________________________________________________________
Donation Item: ___________________________________________________________
Donation Item Description: ____________________________________________________
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Item Value: ________________________________________________________________
Donation Amount: __________________________________________________________
Donation Item: ___________________________________________________________
Donation Item Description: ____________________________________________________
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Item Market Value: ________________________________________________________________
Donation Amount: __________________________________________________________
All event proceeds will go towards Eric's medical trust fund and ALS research / patient care.
If you have any questions, please send us an Email. We look forward to another very successful night!
Please email/mail donations to the following locations or to coordinate items for pick-up :
Bob & Deb Von Schaumburg
646 Wainsford Dr.
Hoffman Estates, IL 60169
(847) 843-1083
dvonschaumburg@svsindustries.net