Middle East Conflicts Wall Memorial

Illinois Motorcycle Freedom Run

P.O. Box 388489  Chicago, IL. 60638

_____________________________________________________

Internet Donation Form

Donations go toward adding names to the wall memorial and to assist veterans and their families

I cannot attend The Illinois Motorcycle Freedom Run but I would like to make the following monetary donation.

Date____/____/_____

Name________________________________________

Address_______________________________________

City_______________ State__________ Zip_________

Phone_____________________(Optional)

E-Mail_____________________(Optional)

Please print this page and return it with your Tax Deductible donation (check or money order)

made payable to:

Illinois Motorcycle Freedom Run

P.O. Box 388489 Chicago, IL. 60638

Your cancelled check will serve as your receipt.

Illinois Motorcycle Freedom Run is a registered 501c3 not for profit organization

Please check one.

[ ] $5 [ ] $10 [ ] $25 [ ] $50 [ ] $100

[ ] Another Amount $________________

* YOU CAN NOW DONATE BY PAYPAL OR CREDIT CARD *

Thank you very much!

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