When & Where

5K Walk Registration

Personal Donation

Corporate Sponsorship

Contact Us

Personal Donation

1st Annual  5K "Walk for Women" 
to benefit the Laurel Center
(formerly the Shelter for Abused Women)
presented by

Exclusively Faces Cosmetic Surgery & MediSpa
 

Personal Sponsorship & Donation Form





Name of Donator(s): ______________________________________________________

Street Address: ___________________________________________________________

City/Town: ________________________ State: ___________ Zip: _____________

Daytime Phone: ______________________ Email: ____________________________





____ Yes! I would love to sponsor the 1st Annual 5K Walk for Women to benefit the Laurel Center for this amount:

( ) $25 ( ) $50 ( ) $100 ( ) $ __________



*Sponsorship means that your name will be listed in the event-day brochure as a monetary contributor to this event*



A check made payable to Exclusively Faces for the selected sponsorship amount is enclosed.



____ Yes! I would love to support the 1st Annual 5K Walk for Women to benefit the Laurel Center by making a personal,

tax-deductible donation for this amount:

( ) $25 ( ) $50 ( ) $100 ( ) $ __________



A check made payable to Exclusively Faces for the selected donation amount is enclosed.



____ No, unfortunately I would prefer not to sponsor the 1st Annual 5K Walk for Women to benefit the Laurel Center



The Laurel Center is a 501(c)(3) organization, therefore your donation is tax-deductible.



Please mail the completed form and payment to:

Exclusively Faces Cosmetic Surgery & MediSpa

Attn: Walk for Women

116 Medical Circle, Winchester, VA 22601