Riding for Greenway Bikeathon

Donation Form

You may print out this form and mail or FAX it with your contribution to:
The GREENWAY Arts Alliance at GREENWAY Court Theatre
544 N. Fairfax Ave. Los Angeles, CA 90036
FAX: 323-655-7906
TEL: 323-655-7679

I would like to support
the "Riding for Greenway Bikeathon
in the amount of:  $______ x 26 miles, or a fixed contribution of
$ _________.

Name:                                                                                     

Address:                                                                                  
             ___________________________________________________
City:                                              State:      Zip Code:               Phone:                                      E-mail:                                  ___

If mailing a check, please make check payable to:  The GREENWAY Arts Alliance
You may charge my:   □ VISA   □ MasterCard   □ American Express
Credit Card #:                        _____                        
Exp. Date:            /       __ 

Name as it appears on card:                                                 

We are grateful for your support of The GREENWAY Arts Alliance.
Contribution is tax deductible, up to the limit allowed by law, under 501(C) (3).

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