Partnership / Donation Form

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PARTNERSHIP / DONATION FORM
Name____________________________________________________________
Company Name____________________________________________________
Address___________________________________________________________
___________________________________________________________
Phone________________________________ Fax_________________________
_______ Yes, my company would like to become a “Ready When Needed” partner. Please place me on the
“Partnership” list and call during a disaster situation. My product line is: _____________________________
_________________________________________________________________________________________
Please accept this donation to the Ace Hardware Foundation to support:
Children’s Miracle Network Hospitals
$_______________________
$_______________________
American Red Cross Natural Disaster Relief
Make checks payable to: Ace Hardware Foundation
2200 Kensington Court
Oak Brook, IL 60523
Attn: Jody Phillips, Ace Foundation Manager
630-990-6921
630-928-6254 Fax
Children’s Miracle Network Hospitals is a group of 170 children’s hospitals across the US and Canada that provide health care to children regardless of
their families ability to pay. Over 17 million children are helped each year and we are looking forward to increasing that number every year!
We have not provided you with any goods or services in exchange for this contribution. Please keep this letter for your files as documentation of your
gift.

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