| Thank you for your pledge to our Star Fest Telethon VIP. Please enclose this pledge form with your contribution and mail to: | |||||
United Cerebral Palsy
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| VIP: | Duane Hookom | Date Called: | Internet Pledge | ||
| Pledge: | $_______________ | Amount Paid: | $_______________ | Date Paid: | ________________ |
| I understand that UCP is a recipient of area United Ways and that this donation will not affect my support to these funds. | |||||
| Donor Signature: | _____________________________________ | ||||
| Phone #: | __________________________ | ||||
| Donor Name: | _____________________________________ | ||||
| EMail: | _____________________________________ | ||||
| Address: | _____________________________________ | ||||
_____________________________________ |
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Would you like your pledge to be read on the air? YES_____ NO_____ |
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