CONTRIBUTION FORM
 


Please accept my contribution to the Joseph Sams School (c/o Race For Riley) in the amount of:

Contributing Individuals

$50

$100

$150

$200

Other

Contributing Organizations

$500

$1000

$1500

$2500

Other

Make check or money order payable to: The Joseph Sams School (c/o Race For Riley)

Name:

Address:

City: State: Zip:

Email:

Phone:

Print and Mail completed form and payment to:

Race For Riley
c/o Waynette Peek
280 Brandywine Blvd
Fayetteville, GA 30214

Questions?
Please call Waynette Peek at 770-463-0714. Or email at waynette@raceforriley.org.