Charitable Donation Request Form

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Charitable Donation Request Form

Thank you for you interest in Walk4Life pedometers. Walk4Life will respond within 5 business days. All requests require 4 weeks processing time.

Charitable Donation Request Form

Not For Profit:

Organization:

Address:

Suite, etc.:

City:

State:

Zip:

Contact First Name:

Contact Last Name:

Contact E-mail:

Valid email required

Phone:

Fax:

Merchandise Requested:

Quantity:

Event Name:

Event Date:

Age of Participants:

Requested Product Delivery Date:

In the message box below, please "stay in the box" by hitting your "return" or "enter" key at the end of each line. Hit twice to start a new paragraph. Thanks!

Message:

You may also contact us at 888-422-1806, Monday through Friday between the hours of 8:00am and 4:40 PM CST.

Walk4Life
12137 Rhea Drive
Unit B
Plainfield, IL 60544

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