Help restore the Historic Johnston-Hall Hospital Room Sponsors Platinum $2,500. and up___________ Gold $1,500. _____________Silver $1,000. ____________Bronze $500.________________ Wall of Fame $100._____ Date of Birth_________________Donation_________________ Company/Organization_________________________________________________________ Name________________________________Contact Person__________________________ Address____________________________________________________________________ City_________________________________State___________Zip Code________________ Please return completed card to a Hope for Life Family Volunteer or mail to HFLF, 220 South Wall Street, Calhoun GA 30701 ____Visa ____Master Card ____American Express ____Discover ____check Card Number_______________________________________Expiration date______________ |
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