ATHLETE FUNDRAISING

Ask your friends, family, co-workers, businesses and others to make a donation to the Breath of Life Fund. Help us raise money to improve patient care projects at Mattel's Children's Hospital at UCLA, Children's Hospital in Los Angeles and Mount Sinai Hospital in New York City. Use the fund-raising form below to record all of your donations. Use additional sheets as necessary.

FUNDRAISER FORM

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Sample: Joe Donor	$100.00
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All contributions go directly towards patient care projects. Please know that we are dedicated to putting your contributions to work with the greatest possible direct-patient impact.

Please make your check or money order payable to 'Dina LaVigna Breath of Life Fund/JMF' and mail to:

Dina LaVigna Breath of Life Fund/JMF
c/o Merritt LaVigna
P.O. Box 3643
Tustin, CA, 92781

We thank you for taking the time to help the patients with primary immunodeficiency!

Our 2008 triathlon is generously sponsored by the following

For a full list of corporate contributors please click here

© copyright 2005, 2006, 2007, 2008 Dina LaVigna Breath of Life Fund All rights reserved.