10
Have a Heart, Do Your Part
Optimist Childhood Cancer Campaign Walk
Sponsor Sheet
Sponsoring Optimist Club Name: ___________________________________________________________________
Walker Name: ____________________________________________________________________________________
Street Address: ___________________________________________________________________________________
City: ___________________________________ State/Province: _______________ZIP/Postal Code: ____________
Daytime Phone: __________________________________ Evening Phone: _________________________________
E-mail Address: ___________________________________________________________________________________
Fundraising Goal: $____________________
Sponsor Name
Address E-mail Donation Amt.
Mail your donations to:
Optimist International
Attn: CCC Walk
4494 Lindell Blvd.
St. Louis, MO 63108
(800) 500-8130 ext. 235 • Fax: (314) 735-4125 • E-mail: ccc@optimist.org