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Pledge Now

Pledge Now:

1.
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Yes! I would like to support (enter full name of participant):

2.
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Sponsorship Amount:

$1/lb   $2/lb
$3/lb   $4/lb
$5/lb   $6/lb
$7/lb   $8/lb
$9/lb   $10/lb
Other Amount (see below)
3.

Other amount:

4.
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My Name:

5.
*

Street Address:

6.
*

City:

7.
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State:

8.
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Zip Code:

9.
*

Primary Phone Number:

10.

Alternate Phone Number:

11.

Comments:

* Enter Your Email Address:

Type in the text that you see above:

  

Campus Way
308 E. Oak Crest Dr.
Wales, WI 53183
Phone: 262-968-2988

jay@campusway.org

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