Here’s what I can do to help…

Bronze Level $20 _______ Silver Level $50______ Gold Level $100_______ Other $_________
(Please make checks payable to WVATA)

AND/OR… I am interested in organizing a fundraiser in my area or at my school. ______
(We will contact you to help you organize a fundraiser, give you ideas, and/or find assistance for you.)

Name ___________________________

Address ______________________________________________________________________

Phone ________________________ E-mail ___________________________________

Mail to:

Ericka Zimmerman, WVATA Treasurer
312 8th Avenue, St. Albans, WV  25177
(304) 357-4828 E-mail: erickazimmerman@ucwv.edu

 

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