BE A SPONSOR OF THE RACE FOR SAFETY/BEAT THE HEAT PROGRAM.

Name:___________________________________________	Company:_____________________
Address:_______________________________________________________________________

City:____________________________

State:___________________________

Zip:__________

Phone:___________________________________________

Fax:_________________________

$_______________________________Donation Amount

Comments or specific instructions for your contribution:______________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

A copy of our 501 (C) (3) determination letter will be sent to you when we receive your contribution, or in advance upon request.

 

Please Print, Complete and Mail this form to: Race for Safety / Beat the Heat 19604 N. 15th Place Phoenix, Arizona 85024