New England Amateur Skating Foundation
PO Box 6881
Providence, RI  02940

Phone: (401) 861-9266 
Fax: (401) 861-3628


Attn:  Herb Kaplan, President
 



Date:  __________________




Enclosed is my tax-deductible donation in the amount of $ _____________.

I suggest this be used for the skating expenses of 



MASHA LEONOV






Sponsor Name:  _______________________________________________

Sponsor Address (optional):  _____________________________________

_____________________________________________________________

Sponsor Telephone (optional):  ___________________________________