The following options are available for patrons:
$ Gold Apple Donor $500
$ Red Apple Donor $400
$ Bronze Apple Donor $300
$ Yellow Apple Donor $200
$ Green Apple Donor $100
$ Dinner Reservation $65 each
$ June P. Elzia Vision Therapy Scholarship Fund $50
Your donations will be used to help us bridge the ever-widening gap betwen the costs of providing this service and the resources provided by small grants and patient fees. Most of our patients are economically disadvantaged and pay on a sliding-fee scale.
To view the response form scroll down.
Mail response form to: Plano Child Development Center
5401 S. Wentworth, Suite 14A
Chicago, IL 60609-6300
For more information, contact Addie Davis
773.924.5297 (p) 773.373.3548 (f)
Deadline for acknowledgement in our program book for the 35th Annual Vision Care Benefit is September 15, 2010
Name_______________________________________________________________
Address____________________________________________________________
City_____________________ State___________ Zip_____________________
Telephone Number___________________________________________________
Email Address_______________________________________________________
PLEASE INDICATE YOUR LEVEL OF SPONSORSHIP:
Golden Apple and Greater Ads are available.
___Apple of Your Eye, $10,000 ___Apple Orchard $5,000 ___Apple Tree, $2,500
___Apple Blossom, $1,500 ___Apple Seed, $1,000 ___Gold Apple $500
___Red Apple $400 ___Bronze Apple $300 ___Yellow Apple $200
___Green Apple $100 ___June P. Elzia Vision Therapy Scholarship Fund $50
___Other in the amount of $__________________
___Enclosed is my contribution of $ for tickets at $65.00 per person
Please make checks payable to:
Plano Child Development Center, 5401 S. Wentworth, Suite 14, Chicago, IL 60609.
All contributions are tax-deductible to the extent allowed by law. Plano is a not-for-profit tax-exempt organization under Section 501 (c) (3) of the Internal Revenue Code.
For more information, please contact Addie Davis or Dr. Stephanie Johnson-Brown at 773-924-5297 or email us at info@planovision.org
MasterCard and Visa now accepted online.
Check this website for payment information!
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