Summer Camp Sponsorship Form

Name: _____________________

Address: __________________________________________

Phone: _____________________

E-mail: _____________________

# of days to sponsor a camper ___x$52.00/day   $______Total

OR

# of campers to sponsor/week ___x$364.00/week  $______Total

OR

$10.00 __

$25.00 __

Other __ please fill-in amount $______

__ Please check here if you wish to receive our newsletter in electronic format

Make out checks to "With A Little Help...", Inc. and send to:

P.O. Box 320243

Franklin, WI  53201