Piedmont Down Syndrome Support Network
 

BW SPONSOR FORM  H1>

2011 Sponsorship Form
( New Donor Letter - Previous Donor Letter )
- Print this form! -

The PDSSN Buddy Walk has been successful thanks to our generous sponsors. We appreciate your support to help us fulfill our mission.

The PDSSN reaches out to new families, provides educational and social opportunities for our existing members, and educates the community to promote awareness, respect, and inclusion of persons with Down syndrome.


Business/Individual's Name: _____________________________

Mailing Address: _____________________________________

City: ______________________ Zip: _____________________

Phone: ______________ Email: _________________________

Contact Person: ______________________________________

Contact Signature: ____________________________________

PDSSN Member or Sponsorship Contact: __________________

Amount of donation: ___________________________________

Your name or company name will be displayed on our website and in signage along the walk.

We THANK YOU for your support!!
- Please print this form and mail it along with your donation to
P.O. Box 91, Pfafftown, NC 27040


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4045 University Parkway, Winston-Salem, NC 27106
336-714-9120

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