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World's Largest Single Day Car
Show ! |
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 Cruisin'
For A Cure |
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9th Annual Cruisin For A Cure |
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Saturday, Sept 27, 2008, Orange County Fair & Expo
Center, Costa Mesa, CA |
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All proceeds to support Prostate Cancer Research at
the UCLA Jonsson Cancer Center |
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Kingpins Pledge Form |
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Kingpins Sponsor: Grand Prix Tours
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Participant's Name: |
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Address |
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City, State, Zip |
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Phone |
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Email |
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Make checks payable to "Jonsson Cancer Center".
Checks and Credit Cards, No Cash. All pledges are tax deductible |
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Sponsor's Name (Please Print) |
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Phone |
Credit Card Number
AMEX, Disc, VISA, MC |
Exp
Date |
Pledge
Paid P |
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Completed Form (s) and all Donations are due by
September 10, 2008,
to qualify for the Kingpins Car Club. |
This Page Total |
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Additional Page(s) Total |
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Total Pledges |
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www.cruisinforacure.com 949-752-5115 ext.10 email dbaker52@aol.com |
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