Corporate Sponsorship

Company Name:____________________________________________________________

Contact Name:_____________________________________________________________

Address:__________________________________________________________________

Authorizing Signature:_______________________________________________________

Print Name:_______________________________ Title:____________________________

Date:_____________________________________________________________________

Your 100% tax deductible contribution supports diabetes research and education.   You may email this confirmation form as soon as possible to:  christine@diabetesintl.org.

Please make check payable to:  Diabetes International Foundation. 

Mailing Address:

Diabetes International Foundation

Attn:  Corporate Sponsorship Department 

10539 Wood Duck Lane

Orland Park, IL    60467

The Diabetes International Foundation is a 501(c)(3) non-profit Foundation

Tax ID #45-1969245