Offline Donation Form

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Offline Donation Form Powered By Docstoc
					                                                  Offline Donation Form
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Last Name:                       First Name:                                   Team Name:
 Address:                                                                          Phone:
     City:                               State:         Zipcode:                   EMail:

             Donors can make sponsorship donations by Credit Card online at:                                   Total $
             Please do not enter online donations on this form.                                               Donations

       Name of Donor:                                   Phone and Email:

       Address:                                         City:                     State:    Zipcode:



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 12/5/2005                                                                                                                      1