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___________________________ wish to become a Beverage Sponsor for the Kickn4Chris benefit being held on Sunday, September 28, 2008 at Hawthorne Race Course. I understand that for a donation of $65.00 for each half barrel of beer
or a donation of water, wine or soda, I will be helping Chris and his family.
Number of half Barrels I/We wish to sponsor:___________________________
Name of Business/Family/Person: ________________________
Contact Person:______________________________________
Address:___________________________________________
E-Mail Address:______________________________________
Phone Number:____________________________________________
Authorized Signature:__________________________________
Paid in Full: Check: __________________________________________
Cash: _____________________________________
YOUR DONATION IS SINCERELY APPRECIATED. THANK YOU. | 
