Mayor’s Midnight Sun Half-Marathon, Anchorage, Alaska June 23, 2007

Please return this form along with a check or money order by April 6, 2007 to

Tyleach Watkins
2 Gwynnswood Rd.
Owings Mills, MD. 21117

Donation Levels:

Pay by the mile with a smile:
____ $13.10 ($1 per mile)
____ $26.20 ($2 per mile)
____ $39.30 ($3 per mile)
____ $52.40 ($4 per mile)
____ $65.50 ($5 per mile)

Train with me for 21 weeks by giving up a weekly vice!
____ $26.25 ($1.25 soda or candy bar)
____ $73.50 ($3.50 People magazine)
____ $84.00 ($4.00 cup Starbucks)
____ $126.00 ($6.00 value meal at Burger King)
____ Other – Please write in Amt:______


Make checks payable to: LEUKEMIA AND LYMPHOMA SOCIETY.

If paying by credit card please provide the following information:

Card Type: __________________________________________
Card #: ____________________ Exp. Date: _______________
Name as it appears on card: _____________________________
Signature: ____________________________________________

Please provide this information so that I can send you a thank you card for your support!

Name (printed): ________________________________________
Address: ______________________________________________
City, State, Zip: _________________________________________


Want to donate online? click on this web site: http://www.active.com/donate/tntmd/tswtntmd

THANKS AGAIN FOR YOUR SUPPORT!!!