Racing Hearts Day

Koreen Koehler
772 Milkweed Ct
Neenah, WI 54956
phone: (414)403-2005
email: runforpots@hotmail.com

RACING HEARTS DAY

Contact Information: Please reserve the following donation for myself / my company.

COMPANY/DONOR NAME

ADDRESS:

City State Zip code

EMAIL: (This is how we will send your receipt. Please print clearly) PHONE:

Monetary Donation Auction/Raffle Donation

Amount Description

Check number Item worth

Designation

Thank you for your help and support . Donations will need to be received by September 1st.

Pick up or drop off will be scheduled the last week of August.

Contact information Mark Martin, 262-224-7162, mark@racingheartsday.org

Racing Hearts Day is the [not-for-profit 501(c)3] hosting this event to directly aid the education and research efforts of local Dysautonomia Specialists
at Aurora Medical Center in Grafton. All donations are tax-deductible to the full extent of the law. For information regarding your donation and/or
sponsorship, please contact your tax consultant.

EIN # 83-4538939

runforpots@hotmail.com
https://www.aurorahealthcarefoundation.org/events/
racinghearts