Donations
** Click Here to Download this form
** Click Here to Donate Online via LSUHSC Foundation website (Important: Be sure to select "Camp Tiger" in the Donation Info section!)
Camp Tiger 2007 -- Donation Form
LSUHS Foundation
Donor Information (please print or type)
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Name |
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Billing Address
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City |
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State |
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ZIP Code
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Telephone (Home)
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Telephone (business)
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Fax |
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Credit Card # & Type
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Expiration Date
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Signature as on card
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Donation Information
Donors at
the level of $1000 Platinum and $500 Gold will be listed on the Camp
Tiger T-shirt, the Website and other promotional materials.
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Enclosed
is my tax-deductible gift in the amount of:
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$1000
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$500
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$250
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____ $100
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_____$50
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Other: ______
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In addition, businesses can "Buy a Day" of Camp Tiger
where any signage provided to the Camp Tiger Staff will be displayed throughout
the day. Businesses buying a day will be
listed as Platinum Sponsors on the T-shirt. The cost to "Buy a Day" is $2500. There will be 5 days available.
_____ We would like to
"Buy a Day" at Camp Tiger
Acknowledgement Information
Please use the following name(s) in all acknowledgements:
____ I (we) wish to have our gift remain anonymous.
Please make checks, corporate matches, or other gifts
payable to: LSUHSC Foundation
Mail to:
Office of Alumni Affairs
P.O Box 33932
Shreveport, LA
71130