Link to Word Doc pledge form below in landscape Layout. PLEDGE FORM 2012 The Willow Foundation.doc
Link to PDF pledge form below in landscape layout. PLEDGE FORM 2012 The Willow Foundation.pdf
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PLEDGE FORM – LIVELY DRAGON MILTON Charity DRAGONBOAT RACE
Saturday May 26th, 2012
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905-
407-2174
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The selected charity for 2012 is:
The Willow Foundation
Registered Charitable No. 86903 1385 RR0001
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Lively DragonClub info@lively-dragon.com
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www.
lively-dragon.com
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Team Name:
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P
L
E
A
S
E
P
R
I
N
T
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Tax receipts from The Willow Foundation are issued for donations of $20 or more if accompanied with a complete name and address
Donation cheques should be made payable to:
The Willow Foundation
Turn in completed pledge form with donations collected to a Halton Region representative prior to race day or at the Milton Race donation desk May 26, 2012.
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Name:
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Address:
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City
Province
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Postal Code Telephone
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Please send me e-newsletter. My email address is:
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Lively Dragon Club asks each team to donate a minimum of $100
(That is only $5 per paddler!)
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Sponsor Name
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Address
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City
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Postal Code
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Telephone Number
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Amount Pledged
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Amount Received
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Lively Dragon
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327 Bay St. South
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Hamilton
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L8P 3J7
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905-407 2174
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$100
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$100
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Please indicate if receipt required
(Yes) (No)
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Total Pledged
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Total Collected
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