Page 55 - ESA IC News April
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STATE EASTERSEALS REPORT
YEAR END REPORT – DUE MAY 15
th
Mail to: IC Easterseals Chair, Theda Hall
56 Kirkcaldy Drive
Bella Vista, AR 72715-5700
Cell: 479-899-3044
Email: tlhent@aol.com
STATE: _____________________
# OF CHAPTERS IN STATE (according to Headquarters list): _____________________
# OF CHAPTERS PARTICIPATING IN EASTERSEALS EVENTS: __________________
(IC Chair has Chapters who registered not wishing to participate for 100% participation)
EASTERSEALS CHAIR or PHILANTHROPIC CHAIR:
PHONE: (Day) __________________________ (Evening) ________________________
E-MAIL ADDRESS: _______________________________________________________
Total Contributions: April 1, 2017-March 31, 2018
Total contributions – April 1, 20 to March 31, 20
Donated Monies _____ Goods _____ Miles _____ Hours _____
Above figures should be totals from the second page of this form.
DONATED MONIES GOODS MILES HOURS
*** Please complete this form on the second page ***
Please share comments/suggestions/ideas/successful fundraisers in your state:
(For use by State Easterseals Chairman or Philanthropic Chairman only)
Revised August 2017
