YANKEE HOMECOMING 10M & 5K
Newburyport, MA
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Tuesday July 29, 2008 6:25 PM (5K) 6:35 PM (10M) |
Pledge Form
Eye Research in Massachusetts Pledge Form Contributions to Eye Research in Massachusetts have made the Boston area the number one Eye research and eye care center of the world. Through our support for research, cures and treatment of preventable blindness we have touched the lives of many people in our own community and throughout the world. Recipient of funds have been Children's Hospital, Joslin Diabetes, Schephens Eye Research Institute Mass Eye and Ear, to name a few.. Please join us in the fund raising effort. Remember,every dollar you raise is a dollar for eye research, no expenses are taken out. Please use this form to accumulate pledge information. Bring to registration tent on race day. Information, Call Jon at 978-376-5328 Name_____________________________Street address_____________________________________ City__________________________State_______Zip_______Phone_________________ E Mail________________________________________ Name Address City/State Zip 1.___________________ _______________________ ______________________ ____________ 2.___________________ _______________________ ______________________ ____________ 3.___________________ _______________________ ______________________ ____________ 4.___________________ _______________________ ______________________ ____________ 5.___________________ _______________________ ______________________ ____________ 6.___________________ _______________________ ______________________ ____________ 7.___________________ _______________________ ______________________ ____________ 8.___________________ _______________________ ______________________ ____________ 9.___________________ _______________________ ______________________ ____________ 10._________________ _______________________ ______________________ ____________ As an incentive anyone who raises $150 or more will receive a tank top and Special t shirt. All individuals raising $300 or more will have entrance fee waved for life. |
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