Donation Receipt Donation Receipt Donation Receipt Donation Receipt

KMW-108 8/10

Donation Receipt Donor Name:

Donation Amount: $ Date:

Address: City:

State:

ZIP:

MDA Muscle Walk Location:

Thank you for your donation to the Muscular Dystrophy Association!

Authorized Volunteer:

KMW-108 8/10

Donation Receipt Donor Name:

Donation Amount: $ Date:

Address: City:

State:

ZIP:

MDA Muscle Walk Location:

Thank you for your donation to the Muscular Dystrophy Association!

Authorized Volunteer:

KMW-108 8/10

Donation Receipt Donor Name:

Donation Amount: $ Date:

Address: City:

State:

ZIP:

MDA Muscle Walk Location:

Thank you for your donation to the Muscular Dystrophy Association!

Authorized Volunteer:

KMW-108 8/10

Donation Receipt Donor Name:

Donation Amount: $ Date:

Address: City: MDA Muscle Walk Location: Authorized Volunteer:

State:

ZIP:

Thank you for your donation to the Muscular Dystrophy Association!