Monetary Donations

(Drop off or mail by February 19, 2010)

Join the Cook County Farm Bureau in contributing funds to Ronald McDonald House in recognition of February 25th Food Checkout Day to benefit our area houses.

Yes, I want to help a family with Housing so they can stay near their seriously ill child during treatment at Chicago area hospitals!

1 night ($5)

2 nights ($10)

1 week ($35)

2 weeks ($70)

1 month ($150)

100 nights ($500)

Other amount $____

Please make your checks payable to: Ronald McDonald House

Donor Name(Ms.Mrs.Miss.Mr.)___________________________________________________

Address:________________________________________________________________

City:______________________________St__________________Zip_______________

Phone:(Day)_________________________(Evening)____________________________

Send to: Attn: Ronald McDonald House/Food Checkout Day

Cook County Farm Bureau

6438 Joliet Road

Countryside, IL 60525

Please mail your donation by February 19, 2010 so we can present the gift on your behalf on
Food Checkout Day.