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I/We wish to donate _____________________ to the Kickn4Chris benefit being held at Hawthorne Race Course on Sunday, September 28, 2008. I understand that all donations I contribute will be used for helping Chris and his family.
Name of Business/Family/Person: _______________________________________________
Contact Person: ___________________________________
Address: ________________________________________
Email Address: ___________________________________
Authorized Signature :_________________________
Paid in Full: Check: ________________________________
Cash: __________________________________________
YOUR DONATION IS SINCERELY APPRECIATED. THANK YOU.
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