DONATION TO OAK GROVE BAPTIST CHURCH RELAY FOR LIFE
c/o Andrea Hampton
433 Mack Cunningham Rd
Cadiz, KY 42211
Enclosed is my tax deductible donation of $____________ for In Memory ____ or In Honor ____ of
NAME: __________________________________________
Donated By: Send Notice of Donation to:
My Name ____________________________________ Name __________________________________
Address___________________________________ Address_______________________________
City _________________ State _____ Zip ________ City _____________ State ____ Zip__________
or to the Family _________