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Pledge Form (new) .pdf


Original filename: Pledge Form (new).pdf
Author: Stephanie Bjorgan

This PDF 1.5 document has been generated by Microsoft® Word 2013, and has been sent on pdf-archive.com on 13/08/2015 at 20:47, from IP address 72.38.x.x. The current document download page has been viewed 293 times.
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PLEDGE FORM
Participant Details
Name: ____________________________________________

Red Roof Retreat Wine Run

Phone #: __________________________________________

Saturday October 17th

Email: ____________________________________________

Cheques to be made payable to Niagara on the Lake Chiropractic

Race Event: ______________________________________

Please return sheets on Race Day!
Name

Address
(Include Postal Code)

Phone #

Email

Pledge
Amount

Cash/
CHQ

Receipt
(Y/N)

Name

Address
(Include Postal Code)

Phone #

Email

Pledge
Amount

Cash/
CHQ

Receipt
(Y/N)


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