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Participant Offline Donation Tracker

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Participant Offline Donation Tracker Powered By Docstoc
					Form Instructions:                                                                                                     Mutt Strut 2012  April 28, 2012
    Register for Mutt Strut at IndyMuttStrut.org                                                                Participant Offline Donation Tracker
    Collect off-line donations and record them on this donations form.
                                                                                                        Visit IndyMuttStrut.org to donate securely online!
    All donations must be submitted to the Humane Society of
       Indianapolis by April 25 or brought to the event.
    There will be a donation collection site located on the Plaza.
    Mail off-line donations to: Humane Society of Indianapolis, Attn. Mutt Strut, 7929 Michigan Rd., Indianapolis, IN 46268.
    Join us for Mutt Strut on April 28 at the Indianapolis Motor Speedway, rain or shine

 Participant Name: _______________________________________ Phone: ___________________ Email Address: ______________________________________

                                                                                                                                                 Payment Type
   Donor Full Name                        Donor Full Address                                  Donor Email                     Donor Phone          (circle one)      Amount
 Suzie Example              7929 N Michigan Rd. Indianapolis, IN 46268               muttstrut@indyhumane.org                317-872-5650         Cash Check        $100.00
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                                                                                                                                         Total Donations: $___________
   Thank you for participating in Mutt Strut 2012! Please make checks payable to the Humane Society of Indianapolis. Please do not mail cash donations. We ask that you include
       the full address of each donor in order for us to keep accurate records for tax purposes. Direct any questions to 317.872.5650 ext. 121 or muttstrut@indyhumane.org.

				
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