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Print Pledge Form
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Buddy Walk Home Page
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Buddy Walk Pledge Form
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Name ______________________________________________________
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(Last) (First)
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Street Address _______________________________________________
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City _______________ State ______ Zip _______
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Daytime Phone _____________________ Total Collected ______________
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Please Make Checks Payable to Up with Downs of Pinellas.
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All contributions are tax deductible as allowed by law.
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Sponsor Name
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Phone Number
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Donation
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PLEASE PRINT AND PHOTOCOPY THIS FORM AS NEEDED
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We encourage all walkers to turn in their donations at the walk. Checks should be made
payable to Up with Downs of Pinellas.
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Proceeds:
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A small percentage of the proceeds will be donated to the National Down Syndrome Society to
continue their research and educational programs on behalf of people with Down syndrome. The
remaining funds raised will remain in the community to provide on-going support to parents of
children with Down syndrome as well as education and information to school systems, healthcare
professionals and businesses interacting with people with Down syndrome and their families
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