Lively Dragon Events

 

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

 

PLEDGE FORM – LIVELY DRAGON MILTON Charity DRAGONBOAT RACE

Saturday May 26th, 2012

905-
407-2174

The selected charity for 2012 is:
The Willow Foundation
Registered Charitable No. 86903 1385 RR0001

Lively DragonClub                                              info@lively-dragon.com 


www.
lively-dragon.com

Team Name:

P

L

E

A

S

E

P
R
I
N
T

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.

Name:

Address:

City

                                                 Province

Postal Code                              Telephone

           

Please send me e-newsletter. My email address is:

Lively Dragon Club asks each team to donate a minimum of $100
(That is only $5 per paddler!)

Sponsor Name

Address

City

Postal Code

Telephone Number

Amount Pledged

Amount Received

 Lively Dragon

327 Bay St. South

Hamilton

L8P 3J7

905-407 2174

$100

$100

Please indicate if receipt required
 (Yes) (No)
 

Total Pledged

Total Collected

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