TEST Sports Clubs
To Benefit Mane Stream - June 14, 2013
2013 CASINO NIGHT DONATION FORM (one form per item)
Donor Name (please print clearly): _____________________________________________________
Contact Name (if different than above):
_____________________________________________________
Donor to be Listed in the Program: _____________________________________________________
Street Address:_________________________________________________________________
City: ___________________________________ State: _____________ Zip: _________
Telephone: __________________________ Email Address: _____________________________
Thank You letter will be sent to the above address.
Choose from the Donation Options below:
☐ Raffle Item: $100-$200 value
☐ Food Sponsor: $100-$300 value
☐ Casino Table Sponsor: $300-550 which includes Company Name at Casino Table, 1 month basic
membership and 1 month banner display
☐ Grand Prize: $500-$1000 which includes a 3 month basic membership to the facility PLUS a 3 month
banner displayed in the TEST Sports field house and discount on personal training
*Please return this form to:
TEST Sports Clubs, 1931 Washington Valley Road, Martinsville, NJ 08836;
email: [email protected]; phone: 732-271-1000; fax: 732-271-9797
If item is not physically available for display, please provide a brochure, photo or other prop and let us
know whether display item is part of donation or should be returned to donor. Please email photos to
[email protected]
This form must be received by May 31st to be in the program.
THANK YOU!
Donations are tax deductible to the full extent allowed by law.
Mane Stream is a nonprofit organization with section 501(C)(3) status for tax purposes.
Mane Stream Inc.is a registered 501(c)(3) non-profit organization Tax ID # 23-7377601. Information filed with the NJ Division of Consumer Affairs concerning this charitable organization
may be obtained by calling 973-504-6215. Registration with the NJ Division of Consumer Affairs does not imply endorsement. The official registration statement and financial information of
Mane Stream, Inc. may be obtained from the PA Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.