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Click here to download in PDF format
Donation Form
Liam Foundation Proudly Presents
"Just Thinking of the Cure Makes Us Giddy"


(* indicates MANDATORY field to be filled in)
*Company Name:
*Contact:
*Phone::
Address:
*City:
*State:
*Zip:
*Email:
Description of donated item:
Estimated retail value: $
Expiration: - Please note the date of the event is June 6, 2009.
Restrictions: (if any) :

 

Thank you for your support. Please complete and return by June 1st, 2009
LIAM FOUNDATION is a non-profit 501 (C)3 dedicated to enhancing the quality of life for children and
young adults with cystic fibrosis.
FEDERAL TAX ID# 20-2532759
LIAM FOUNDATION
16210 VIA PACIFICA . RANCHO SANTA FE . CA . 92091
PHONE 858.759.7919 CELL 858.361.7102 FAX 858.759.9530



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