Car Wash Pledge Sheet 2013 - Colts by yaofenji

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									                                                                 Colts and Colt Cadets
                                                                                    ANNUAL CAR WASH
                                                                        SATURDAY, JUNE 8, 2013 9:00 am - 4:00 pm
                                                                         To be held at 18 or more locations in the Dubuque area!

     Member Name:____________________________________________________ Member of: (circle one): COLTS         COLT CADETS           Please print legibly!



                                                                                                                                                      Pledge    Donation      Paid?
                            Name               Mailing address                    City             State      Zip                  Phone              Per Car   Amount     (check one)
     (example)   Fred Smith            P.O. Box 661                 Anytown                         OH     55743       (900) 599-3723                 $0.02                _ Yes X No
     (example)   Jane Doe              123 Main St.                 Springfield                     IL     12345       (456) 555-7890                           $20.00     X Yes _ No

1                                                                                                                      (     )        -                                    _ Yes _ No
2                                                                                                                      (     )        -                                    _ Yes _ No
3                                                                                                                      (     )        -                                    _ Yes _ No
4                                                                                                                      (     )        -                                    _ Yes _ No
5                                                                                                                      (     )        -                                    _ Yes _ No
6                                                                                                                      (     )        -                                    _ Yes _ No
7                                                                                                                      (     )        -                                    _ Yes _ No
8                                                                                                                      (     )        -                                    _ Yes _ No
9                                                                                                                      (     )        -                                    _ Yes _ No
10                                                                                                                     (     )        -                                    _ Yes _ No
11                                                                                                                     (     )        -                                    _ Yes _ No
12                                                                                                                     (     )        -                                    _ Yes _ No
13                                                                                                                     (     )        -                                    _ Yes _ No
14                                                                                                                     (     )        -                                    _ Yes _ No
15                                                                                                                     (     )        -                                    _ Yes _ No
16                                                                                                                     (     )        -                                    _ Yes _ No
17                                                                                                                     (     )        -                                    _ Yes _ No
18                                                                                                                     (     )        -                                    _ Yes _ No
19                                                                                                                     (     )        -                                    _ Yes _ No
20                                                                                                                     (     )        -                                    _ Yes _ No
21                                                                                                                     (     )        -                                    _ Yes _ No
22                                                                                                                     (     )        -                                    _ Yes _ No
                                   Our goal is to wash 750 or more cars.           Donations are fully tax-deductible.               Pledges will be collected by mail.

                                                                 THANK YOU FOR YOUR SUPPORT!

								
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