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“Host Committee” Level: A commitment to raise or donate $10,000 by October 21, 2016.
“Co-Chair” Level: A commitment to raise or donate $5,000 by October 21, 2016.
“Champion” Level: A commitment to raise or donate $1,000 by October 21, 2016.
“Leader” Level: A commitment to raise or donate $500 by October 21, 2016.
”Keep it 100” Level: A commitment to raise or donate $100 by October 21, 2016.
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Name and Title
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Organization
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Address
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City, State, Zip Code
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Phone Number (s)
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Email Address
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Executive Assistant's Name (if applicable)
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Executive Assistant Phone Number (if applicable)
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Executive Assistant Email (if applicable)
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Name of Highest Ranking person in Your Organization (other than yourself)
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Email Address
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Phone Number
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Donation Level (please check one)
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Referred By Pamela J. McClain
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Donations should be mailed to the Michigan Women’s Foundation at 333 W. Fort Street Suite 1920 Detroit, MI 48226. Checks should be written to the Michigan Women’s Foundation, a 501(c)(3) organization, with “AA490” on the memo line. All donations are tax deductible. Please mail your donation by October 21, 2016. Or you can email your donation securely to AA490challenge.org. Thank you for accepting this important challenge!!
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