Donation Blank Cover Sheet Template - Free Download
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2012 Marathon Donation Cover Sheet
Runner Name: Date: ______________________
Runner ID: Appeal Code: 1204EVSPXXMP
Total # of checks: ______
Total Amount of Donation: $_________
Donor Information (please complete if submitting cash or contact information is not listed on
check(s)).
Name___________________________
Address_________________________
City, State, Zip____________________
E-mail___________________________
Phone___________________________
Checks made payable to Massachusetts General Hospital. Please mail all offline donations
accompanied by a cover sheet to: MGH Marathon Team Gift Processing, c/o MGH
Development Office, 165 Cambridge Street, Suite 600, Boston, MA 02114. Any
questions, please call Amy Doherty at 617-726-7837.
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2012 Marathon Donation Cover Sheet
Runner Name: Date: ________________
Runner ID: Appeal Code: 1204EVSPXXMP
Total # of checks: ______
Total Amount of Donation: $______
Donor Information (please complete if submitting cash or contact information is not listed on
check(s)).
Name___________________________
Address_________________________
City, State, Zip____________________
E-mail___________________________
Phone___________________________
Checks made payable to Massachusetts General Hospital. Please mail all offline donations
source: give.massgeneral.org