Text Box: Special Olympics Orange County provides all goods and services to its athletes and their families at no cost whatsoever.  Special Olympics does not receive government assistance and relies solely upon internal fundraising activities, contributions from individuals, foundations and corporations to fund its annual sports programming and competitions.  On average it costs $500 per year to support an athlete’s participation in our program. Your generous contribution will help to offset these costs, which include uniforms, equipment, facilities rental, tournament meals, transportation and much, much more.  ___ I would like to sponsor an athlete for one (1) year at $500 ___ I would like to send an athlete to Summer Games at $250 ___I would like to send an athlete to a local competition at $100 ___ I would like to provide an athlete with a uniform at $50 ___ I would like to provide 15 softballs or 6 soccer balls or 4 basketballs at $25 Please print this form and complete the information below: Name:________________________________________________________________________ Address:______________________________________________________________________ City: _______________________________ State: _______________ Zip: __________ Phone: (H) __________________________ (W) ______________________________ E-Mail:________________________________________________________________ Please select your method of payment: To pay by check: Enclose this form with your check and mail to the address at bottom of page. To pay by credit card: Complete the information below and mail to the address at bottom of page. ___ Visa ___ MasterCard ___ AMEX ___ Discover ___ Diner’s Club Card No: __________________________________________ Exp. Date: ___________ Signature:_____________________________________________________________________ Thank you for supporting our athletes, our programming and our mission. Special Olympics Orange County 2080 N. Tustin Ave., Ste. B, Santa Ana, CA  92705 Phone 714.564.8374 / Fax 714.569.0084  Federal Tax ID Number:  95-4538450