X-Offenders for Community Empowerment
13th Annual Stop Illegal Gun Rally
September 8, 2012
Please respond by filling out your choice below.
Yes, I do support this effort and I will attend. Please accept my donation in the amount of $__________________.
Yes, I do support this effort but I cannot attend. Please accept my donation in the amount of $________________.
Yes, I will attend the workshop. I will be bringing _________people.
Yes, I support this effort and wish to donate materials for the event.
Yes, will provide information with a table for the event
Address Phone E-mail
A $100.00 donation will qualify you as an official sponsor, and your name will be placed on the back of the commemorative T-Shirt.
Please return this form to X-Offenders for Community Empowerment
2227 N. Broad Street
Philadelphia, PA 19122
Fax: (215) 992-5423, E-Mail:firstname.lastname@example.org