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2017 Superhero Run/Walk - Pledge Form
Amount
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$100
$50
$30
$
Pledges over $10 will receive a tax receipt!
Contact Information
Name
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First Name
Last Name
Email
*
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Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
I am making a pledge for:
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select one
Barb Glasgo
Deanna Clark
Debby Bayley
Connie Logan
Jackie Schlenker
Jennifer Edie
Norma Mossing
Tina Ubell
Team - Now That's Pawsome!
Team - Happy Stupid
Team - Anderlette Nation
Team - The Super Magical Insurance Gals
Team - MHC Sport & Wellness
Team - Mori
Team - Bowness
Team - The Bark Side
Team - Anastasia
Add 3% to my total amount to help cover the payment processing fees
