12th Annual 5K Race for Women's Health

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Race for Women’s Health

Individual Sponsor Sheet

Saturday, April 30, 2011

Sponsorship covers the 5K Race or the 2-Mile Fun Walk

  • Proceeds go to Family Planning Plus, supporting a wide range of health services for women in a five-county area.
  • Checks payable to: Family Planning Plus
  • All sponsors donations are due race day
  • Questions? Call Shiloh Erdley at 570-850-0972 or shiloherdley@yahoo.com

An award will be given to the individual who raises the most sponsor dollars!

Name of Participant_____________________________________________________

Name                         Address                    Phone                        Sponsor Amount

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Total:________________   

 

Sign: _________________________________________________Date: ___________

 

(For additional space, please use the back of this form.)

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Family Planning Services Of Lewisburg
4612 Westbranch Highway
Lewisburg, PA 17837

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