2008 Annual Luncheon 
Table Sponsor Commitment Form

Yes! I want to reserve my table for the 2008 Annual Luncheon!

____ Count on me to be a Table Sponsor for $1,500.

____ I am unable to attend, but want to help Loaves & Fishes Centers care for the seniors in our community. Please accept my donation of $_____.

Payment Options:
My check for $_____ is enclosed. Please make your check payable to Loaves & Fishes Centers, Inc.

Please charge the following credit card:

Card no_______________________________________________exp date_______________________

Name______________________________________________________________________________

Title________________________________________________________________________________

Company____________________________________________________________________________

Address_____________________________________________________________________________

City, State, ZIP________________________________________________________________________

Telephone______________________________________Fax__________________________________

Thank you for your support. Confirmation of your response will be sent to you.

Please return this form and your payment to Loaves & Fishes Centers, Inc., PO Box 19477, Portland, OR 97280-0477.

CONTACT INFO: Gail Anderson at 503.953.8114.