Name: ______________________________________ Company Name: _____________________________ Company Contact Name:_______________________ Address:____________________________________ ____________________________________________ Daytime Phone: ______________________________ Evening Phone:_______________________________ Email Address: _______________________________ Amount of Donation: __________________________ Checks can be made payable to Sandy LEGO Beachbots. If you need a tax deduction, make checks payable to Southern California Regional Robotics Forum, EIN#20-0572530 and send c/o Sandy LEGO Beachbots. Thank you for supporting the Sandy LEGO Beachbots! Sandy LEGO Beachbots |