PARTICIPANTS NAME: _________________________________ PHONE NUMBER: ______________________ I will be participating in the ABC Women’s Center 5k walk/run Dash For Life at Snow School Elementary on Saturday September 24 at 10am. I hope to raise money toward the funding of this organization that extends life affirming options for pregnant couples in need of support services right here in our state. Every dollar will go toward supporting their life-affirming mission. You can learn more at www.abcwomenscenter.com SPONSOR NAME First and Last ADDRESS street, city, state, zip PHONE NUMBER home/mobile EMAIL ADDRESS AMOUNT CASH:________________ CHECKS:________________ ONLINE PLEDGE:________________ TOTAL ENCLOSED:______________ If you cannot make it on the day of the event, but would like to make a donation, please make a check payable to: ABC Women’s Center and mail it to PO BOX 1364 Middletown, CT 06457 Online donations can be made on our donor website www.friendsofabc.org/dash-for-life.php All donations are tax-deductible! For further information, please contact our Fundraising Coordinator Jaime Brown at [email protected] O
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