Colorado Coalition for
Genocide Awareness and Action

Thanks for your support of the Colorado Coalition, its Conference and ongoing activities.

Please fill out this form and mail it with your contribution, to the address below.

Name:______________________________________________________

Name of Company:____________________________________________

Address:_____________________________________________________

City, State, Zip_______________________________________________

Office Phone:_____________________Home Phone:_________________

Cell Phone:_______________________Fax Number:__________________

Email Address:_________________________________________________

GIVING OPPORTUNITIES ARE AVAILABLE AT THE FOLLOWING LEVELS

Donors of Distinction

( ) Benefactor: $2500

( ) Sponsor: $1000

( ) Underwriter: $500

I would like my company/organization recognized at events and through publicity. Please list me as:

________________________________________________________________________

Supporting Donors

( ) $250

( ) $100

( ) $50

( ) $25

( ) other: ______

Make check payable to: Colorado Coalition for Genocide Awareness and Action (CCGAA)

Colorado Coalition for Genocide Awareness and Action
Roz Duman, Founder/Coordinator
P.O Box 6714
Denver, CO 80206

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